Individual
WILLIAM RUTECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7417 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4080
(201) 295-2839
Mailing address
3906 SUNNY SLOPE RD, BRIDGEWATER, NJ 08807-3625
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00122100
NJ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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