Individual
HERNAN CASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11 TAFT RD, TOTOWA, NJ 07512-1005
(973) 785-4333
Mailing address
17 GROVE AVE, MAYWOOD, NJ 07607-2009
(551) 221-9759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00162800
NJ
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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