Individual
MR. JASON L EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
23 CLIFTON AVE, BEVERLY, MA 01915-5625
(978) 857-7905
Mailing address
23 CLIFTON AVE, BEVERLY, MA 01915-5625
(978) 857-7905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1971
MA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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