Brandon Green

NPI #1003216177 in Williamstown, New Jersey

Provider Information

NPI Number: 1003216177
Entity Type: Individual
Name: Brandon Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 26, 2014
Last Updated: Aug 26, 2014

Practice Location

Address: 300 HUNTINGDON DR
City: Williamstown
State: New Jersey
ZIP Code: 08094-8830
Phone: (619) 694-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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