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Individual
MR. CHARLES N. BORROMEO
Active
Individual
MR. CHARLES N. BORROMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00058300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029402422
NATA BOC CERT #
NJ
01
—
1023055381
NPI-2 ORGANIZATION
NJ
01
—
25MT00058300
NEW JERSEY LICENSE/REG #
NJ
01
—
922067
N.A.T.A. MEMBER #
NJ
Enumeration date
07/06/2006
Last updated
01/30/2024
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