Individual
GARY JOSEPH MAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ONYX TER, NORTH HALEDON, NJ 07508-2427
(973) 904-4800
Mailing address
7 ONYX TER, NORTH HALEDON, NJ 07508-2427
(973) 904-4800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00120800
NJ
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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