MEDICARE: FRANK CHESTER ARMSTRONG A.T.,C

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	25MT00062300	NJ

General Provider Information

NPI Number	:	1700945714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK CHESTER ARMSTRONG A.T.,C

Provider Business Mailing Address
First Line	:	36 SUMMIT AVE
Second Line	:
City	:	WALDWICK
State	:	NJ
Zip	:	07463-1932
Country	:	US
Telephone Number	:	201-493-0847
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 RIDGEWOOD RD
Second Line	:
City	:	TOWNSHIP OF WASHINGTON
State	:	NJ
Zip	:	07676-4811
Country	:	US
Telephone Number	:	201-664-0880
Fax Number	:	201-722-0423

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	07/08/2007

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