Individual
BRENDAN NICHOLAS STANZIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
21 DAWN DR, CLARK, NJ 07066-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02196200
NJ
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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