Individual
MR. JESSE TOTORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1555 PENNINGTON RD, EWING, NJ 08618-1301
(609) 619-2000
Mailing address
1102 STURWOOD WAY, LAWRENCEVILLE, NJ 08648-1521
(609) 221-5486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00186100
NJ
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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