MEDICARE: DAVID J CAPLIN ATC

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
1	2255A2300X	Athletic Trainer	25MT00010300	NJ

General Provider Information

NPI Number	:	1497737241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J CAPLIN ATC

Provider Business Mailing Address
First Line	:	5 BARTON WAY
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-5224
Country	:	US
Telephone Number	:	856-439-0870
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 HARTFORD RD
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-1874
Country	:	US
Telephone Number	:	856-461-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	12/13/2008

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