| NPI | 1700318938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BUFANO Executive Director 732-662-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00225500) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |