Individual
NICHOLAS OLGIATI SCARAMAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 YORK RD, DELRAN, NJ 08075-2218
(732) 456-4399
Mailing address
146 YORK RD, DELRAN, NJ 08075-2218
(732) 456-4399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00166600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MT00166600
AT COMMITTEE OF THE BOARD OF MEDICAL EXAMINERS
NJ
01
—
977522
DEPARTMENT OF EDUCATION STATE BOARD OF EXAMINERS-SCHOOL ATHLETIC TRAINER
NJ
Enumeration date
03/15/2015
Last updated
03/15/2015
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