RAYMOND N. DIVIRGILIO

UNION, NJ
NPI1003323908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00031600)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
RAYMOND N. DIVIRGILIO
1000 MORRIS AVE
UNION, NJ 07083-7133
Phone number: 908-737-0663
Mailing Address
RAYMOND N. DIVIRGILIO
119 GLENWOOD RD
FANWOOD, NJ 07023-1474
Phone number: 908-737-0663
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