CARSON DAVID WEIS

WAYNE, NJ
NPI1568106391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NJ  25MT00296800)
Enumeration Date2022-04-27
Last Update Date2022-09-28
Business Address
CARSON DAVID WEIS
300 POMPTON RD
WAYNE, NJ 07470-2103
Phone number: 201-563-7904
Mailing Address
CARSON DAVID WEIS
300 POMPTON RD
WAYNE, NJ 07470-2103
Phone number: 201-563-7904
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