Individual
MR. MARK A DONETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
90 PARKER ST, BARRINGER HIGH SCHOOL, NEWARK, NJ 07104-1028
(973) 733-0069
Mailing address
119 WASHINGTON AVE, MAYWOOD, NJ 07607-2038
(201) 226-9810
(201) 226-9810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00069700
NJ
Other
Enumeration date
02/26/2007
Last updated
05/07/2013
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