Individual provider · NPI-1

David Aliquo, M.ED., ATC

Specialist/Technologist, Athletic Trainer · Marlton, NJ

NPI number1902931272
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1902931272
Entity type
Individual (NPI-1)
Name
Mr. David Aliquo
Credential
M.ED., ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainermt00764NJYes

Practice location

1 Greentree Ctr Ste 104
Temple University Orthopedics
Marlton, NJ 08053-3105

Phone 856-596-0906 · Fax 856-596-6918

Mailing address

32 Hill Farm Way
Woolwich Township, NJ 08085-1376

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