OZZIE ALEXANDER DIAZ

WEST ORANGE, NJ
NPI1821063819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00066100)
Enumeration Date2006-02-22
Last Update Date2007-07-08
Business Address
Mr. OZZIE ALEXANDER DIAZ MS, ATC
51 CONFORTI AVE
WEST ORANGE, NJ 07052-2829
Phone number: 973-669-5301
Mailing Address
Mr. OZZIE ALEXANDER DIAZ MS, ATC
115 LAUREL AVE
POMPTON LAKES, NJ 07442-2410
Phone number: 973-835-5858