MR. Matthew Wiswesser, ATC
NPI #1376966507 in Rochelle Park, New Jersey
Provider Information
- NPI Number
- 1376966507
- Entity Type
- Individual
- Name
- MR. Matthew Wiswesser, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 23, 2014
- Last Updated
- Jan 23, 2014
Practice Location
- Address
- 256 HOWARD AVE
- City
- Rochelle Park
- State
- New Jersey
- ZIP Code
- 07662-3421
- Phone
- (201) 519-6994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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