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Individual

THOMAS MATTHEW DONOFRIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
595 WILDWOOD RD W, NORTHVALE, NJ 07647
(201) 543-3902
(201) 750-2949
Mailing address
595 WILDWOOD RD W, NORTHVALE, NJ 07647
(201) 543-3902
(201) 750-2949

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
QA08961
NJ

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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