Individual
MR. BRUCE HENRY SNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CO, ATC
Contact information
Practice address
140 N RTE 17, SUITE 115, PARAMUS, NJ 07652-2809
(201) 225-9025
(201) 225-9030
Mailing address
167 TERRACE AVE, LODI, NJ 07644-2906
(781) 727-5893
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
45OR00010100
NJ
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/19/2006
Last updated
06/26/2016
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