Individual
CARLO ATIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1172 HAMBURG TPKE, WAYNE, NJ 07470-5054
(862) 684-8380
Mailing address
227 SYLVAN RD, BLOOMFIELD, NJ 07003-5525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02221600
NJ
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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