Individual
MR. JOSEPH PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
121 POPLAR WAY, BRICK, NJ 08724-2501
(732) 892-2141
Mailing address
121 POPLAR WAY, BRICK, NJ 08724-2501
(732) 892-2141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00082500
NJ
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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