Individual
JOHN CARMEN MASCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
65 W GREENBROOK RD, NORTH CALDWELL, NJ 07006-4758
(973) 228-1200
Mailing address
3410 RICHMOND CT, HILLSBOROUGH, NJ 08844-5503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00061000
NJ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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