Individual
MR. STEPHEN GEORGE KOWALSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1012 MADISON AVE, RAHWAY, NJ 07065-1803
(732) 396-1090
Mailing address
612 S CHESTNUT ST, WESTFIELD, NJ 07090-1351
(908) 447-4756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00179800
NJ
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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