Individual provider · NPI-1

Nicholas Biello

Specialist/Technologist, Athletic Trainer · Marlton, NJ

NPI number1104369321
StatusActive
Last updated in NPPESJun 7, 2017

Details

NPI
1104369321
Entity type
Individual (NPI-1)
Name
Nicholas Biello
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 19, 2016
Last updated
Jun 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT005326OHYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

107 Meadowview Cir
Marlton, NJ 08053-1413

Phone 856-630-5637

Mailing address

107 Meadowview Cir
Marlton, NJ 08053-1413

Phone 856-630-5637

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Marlton, NJ