Individual
RUSSELL EVAN MULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 MERCURY CIR, SOUTH AMBOY, NJ 08879-2412
(732) 425-2483
Mailing address
17 MERCURY CIR, SOUTH AMBOY, NJ 08879-2412
(732) 425-2483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
M92086806507012
NJ
Other
Enumeration date
05/18/2023
Last updated
05/24/2023
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