Individual
LINDA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 GODWIN AVE, MIDLAND PARK, NJ 07432-1507
(201) 444-4991
Mailing address
641 TOTOWA RD, TOTOWA, NJ 07512-1502
(973) 492-7821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MT00013300
LICENSE #
NJ
Enumeration date
09/25/2006
Last updated
07/08/2007
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