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1710470315
STEFAN J ANTOSIEWICZ
METUCHEN, NJ
NPI
1710470315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00250800)
Enumeration Date
2018-06-08
Last Update Date
2023-04-24
Business Address
Mr. STEFAN J ANTOSIEWICZ ATC
80 HIGHLAND AVE
METUCHEN, NJ 08840-1913
Phone number: 732-586-7354
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Mailing Address
Mr. STEFAN J ANTOSIEWICZ ATC
18 PARK VIEW AVE APT 819
JERSEY CITY, NJ 07302-7386
Phone number: 732-586-7354
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