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NPI Code Detail

MEDICARE: MICHAEL TRAINER

MEDICARE: MICHAEL TRAINER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist41YS00633300NJ

General Provider Information

NPI Number : 1174945125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL TRAINER
Provider Business Mailing Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-363-7937
Fax Number : 732-730-5968
Provider Business Practice Location Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-363-7937
Fax Number : 732-730-5968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 01/10/2014

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Directions to “ MICHAEL TRAINER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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