Individual
JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 PERRINE RD STE 305, OLD BRIDGE, NJ 08857-3628
(609) 598-0023
Mailing address
2 PROSPECT ST, JAMESBURG, NJ 08831-1606
(609) 598-0023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00214700
NJ
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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