NPI 1780122424

Douglas Mann, ATC

Practitioner Prevention Professional Glassboro, NJ

Practice location

Address: 201 Mullica Hill Rd Rowan University, Glassboro, NJ 08028-1700
Phone: (856) 256-4500

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 25MT00088200 (NJ)

Other Prevention Professional providers in New Jersey →

Registry record

NPI: 1780122424
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2017
Record last updated: 2 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.