Individual
RAUL MARQUES FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 GOFFLE RD, WYCKOFF, NJ 07481-2946
(201) 857-5910
(201) 857-5911
Mailing address
18 OAK ST, RIDGEFIELD PARK, NJ 07660-2217
(201) 951-3539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00267000
NJ
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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