Individual
JOSEPH AMICUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 MONMOUTH PARK HWY, WEST LONG BRANCH, NJ 07764-1305
(732) 222-9300
Mailing address
132 MONMOUTH PARK HWY, WEST LONG BRANCH, NJ 07764-1305
(732) 222-9300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00210100
NJ
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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