Individual
MR. CHRISTOPHER JAMES PANTELLERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2083 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648-3001
(609) 896-5052
Mailing address
1003 WHITE PINE CIR, LAWRENCEVILLE, NJ 08648-2927
(551) 579-9507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00162900
NJ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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