Individual
COLLEEN C MCCANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
55 CLINTON PL, NEWARK, NJ 07108-1221
(973) 351-2010
Mailing address
140 CHESTNUT ST, KEARNY, NJ 07032-2406
(201) 889-4562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00073600
NJ
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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