Individual
MR. STEPHEN PATRICK STRACQUATANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
210 ZABRISKIE ST, JERSEY CITY, NJ 07307-4318
(551) 427-6650
Mailing address
790 BERGEN AVE, JERSEY CITY, NJ 07306-4535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00186500
NJ
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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