Individual
DOMER J GUTIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
282 FALLER DR APT C, NEW MILFORD, NJ 07646
(201) 281-7907
Mailing address
282 FALLER DR APT C, NEW MILFORD, NJ 07646
(201) 281-7907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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