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1700464377
MATTHEW GEORGE BUSACCA
POINT PLEASANT BORO, NJ
NPI
1700464377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
Additional Taxonomies
171400000X Health & Wellness Coach
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
MATTHEW GEORGE BUSACCA
1225 GARDENS AVE
POINT PLEASANT BORO, NJ 08742-4043
Phone number: 732-552-6253
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Mailing Address
MATTHEW GEORGE BUSACCA
1225 GARDENS AVE
POINT PLEASANT BORO, NJ 08742-4043
Phone number: 732-552-6253
Copy