Active NPIIndividual providerSole proprietor

Colleen A Grugan, ATC

Specialist/Technologist, Athletic Trainer in Glassboro, New Jersey

NPI Number1225190556
Practice location
201 Mullica Hill RD, Esbjornson Gymnasium, Glassboro, NJ 08028-1700
Fax
—
Last updated
July 8, 2007

Colleen A Grugan is a Specialist/Technologist, Athletic Trainer based in Glassboro, NJ. Colleen A Grugan practices in Glassboro, NJ and has the professional credentials of ATC. The NPI Number for Colleen A Grugan is 1225190556 and holds a License No. 25MT00125800 (NJ). The current practice location address for Colleen A Grugan is 201 Mullica Hill RD, Esbjornson Gymnasium, Glassboro, NJ 08028-1700 and can be reached out via phone at 856-256-4689.

Provider Profile Details

NPI Number
1225190556
Provider Name
Colleen A Grugan
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
201 Mullica Hill RD, Esbjornson Gymnasium, Glassboro, NJ 08028-1700
Phone Number
856-256-4689
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Mullica Hill RD
Esbjornson Gymnasium
Glassboro, NJ 08028-1700
Zip
08028-1700
Phone Number
856-256-4689
Glassboro, NJ 08028Get directions →

Provider Business Mailing Address Details

Address
166 Jackson School RD
Oxford, PA 19363-1268
City
Oxford
State
PA
Zip
19363-1268
Phone Number
609-617-4974

License Information

License Number
25MT00125800
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colleen A Grugan, ATC?

The NPI number of Colleen A Grugan, ATC is 1225190556. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Colleen A Grugan, ATC?

Colleen A Grugan, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00125800.

Where does Colleen A Grugan, ATC practice?

The practice location is 201 Mullica Hill RD, Esbjornson Gymnasium, Glassboro, NJ 08028-1700. The office can be reached at 856-256-4689 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225190556 directly on the NPPES registry website.

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