Individual
MR. SEAN MICHAEL MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-BASIC
Contact information
Practice address
128 WINSLOW TERRACE, GLEN ROCK, NJ 07452-2912
(201) 458-4106
Mailing address
128 WINSLOW TERRACE, GLEN ROCK, NJ 07452-2912
(201) 458-4106
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
583541
NJ
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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