Individual
MR. ROBERT MORONG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
35 WOODSEDGE DR, APT 6B, NEWINGTON, CT 06111-4282
(207) 318-1052
Mailing address
35 WOODSEDGE DR, APT 6B, NEWINGTON, CT 06111
(207) 318-1052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1096
CT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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