Individual
JACK MATTHEW GARRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 632-9728
Mailing address
35 DUMONT AVE, CLIFTON, NJ 07013-1006
(973) 632-9728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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