Charles N. Borromeo, MEd, ATC
Specialist/Technologist, Athletic Trainer in Marlton, NJ. Individual provider (NPI-1).
NPI number1780616417
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1780616417
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles N. Borromeo
- Credential
- MEd, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2006
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00058300 | NJ | Yes |
Practice location
901 Route 73 N Ste BMarlton, NJ 08053-2034
Phone 856-222-9713 · Fax 856-222-9714
Mailing address
5 Silver Hill LnVoorhees, NJ 08043-4731
Phone 609-636-7441 · Fax 856-222-9714
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