TIMOTHY MANCUSO

NORTH BRUNSWICK, NJ
NPI1962052795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00187000)
Enumeration Date2019-09-13
Last Update Date2019-09-13
Business Address
TIMOTHY MANCUSO
5 LARSON CT
NORTH BRUNSWICK, NJ 08902-9636
Phone number: 732-512-8585
Mailing Address
TIMOTHY MANCUSO
5 LARSON CT
NORTH BRUNSWICK, NJ 08902-9636
Phone number: 908-635-8354
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