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Individual

ANTHONY J MISURACO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC

Contact information

Practice address
39 E FLEMING PIKE, HAMMONTON, NJ 08037-2462
(856) 513-5221
Mailing address
39 E FLEMING PIKE, HAMMONTON, NJ 08037-2462

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00176400
NJ

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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