Individual
DAVE ONOFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 BROADWAY, NEWARK, NJ 07104-8000
(973) 484-4222
Mailing address
132 CAMBRIDGE CT, CLIFTON, NJ 07014-1322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09154100
NJ
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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