Matthew James Vitale, MS ATC
Specialist/Technologist, Athletic Trainer in Manalapan, NJ. Individual provider (NPI-1).
NPI number1982240867
StatusActive
Last updated in NPPESNov 26, 2019
Details
- NPI
- 1982240867
- Entity type
- Individual (NPI-1)
- Name
- Matthew James Vitale
- Credential
- MS ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2019
- Last updated
- Nov 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00078300 | NJ | Yes |
Practice location
20 Church LnManalapan, NJ 07726-3402
Phone 732-792-7200
Mailing address
20 Church LnManalapan, NJ 07726-3402
Phone 732-792-7200
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