Individual
MADISON KATHERINE PASSANANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 KNOLLS RD, BLOOMINGDALE, NJ 07403-1513
(973) 557-1244
Mailing address
73 KNOLLS RD, BLOOMINGDALE, NJ 07403-1513
(973) 557-1244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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