Individual
DAWN MARIE MAFFUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
15 CORPORATE DR, UNIT 6, WAYNE, NJ 07470-3120
(919) 225-4286
Mailing address
143 WALKER RD, WEST ORANGE, NJ 07052-3812
(862) 520-2808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00148300
NJ
225700000X
Massage Therapist
Primary
26BT00197500
NJ
Other
Enumeration date
05/25/2009
Last updated
11/08/2010
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