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1982240867
MATTHEW JAMES VITALE
MANALAPAN, NJ
NPI
1982240867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00078300)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
MATTHEW JAMES VITALE MS ATC
20 CHURCH LN
MANALAPAN, NJ 07726-3402
Phone number: 732-792-7200
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Mailing Address
MATTHEW JAMES VITALE MS ATC
20 CHURCH LN
MANALAPAN, NJ 07726-3402
Phone number: 732-792-7200
Copy
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