Individual
CARLOS MOREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Mailing address
127 SUSSEX ST, HARRISON, NJ 07029-2121
(973) 936-0684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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