Individual
MICHAEL DECASPERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
74 W MAIN ST APT 404, SOMERVILLE, NJ 08876-2223
(908) 625-5320
Mailing address
74 W MAIN ST APT 404, SOMERVILLE, NJ 08876-2223
(908) 625-5320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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