Individual
MR. JOSEPH CARMEN CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LATC
Contact information
Practice address
85 MARSH RD, PELHAM, NH 03076-3134
(603) 635-9652
Mailing address
1 TERRACE LN, EAST KINGSTON, NH 03827-2130
(603) 560-2174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0357
NH
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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