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Individual

PHILIP BUZZERIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. ATC

Contact information

Practice address
1925 GIANTS DR, EAST RUTHERFORD, NJ 07073-2140
(201) 403-1513
Mailing address
27 ADDISON AVE, RUTHERFORD, NJ 07070-2303
(201) 403-1513

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000016993

Other

Enumeration date
06/15/2016
Last updated
06/03/2021
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