Individual
NICK BRUNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 MADISON AVE, NEW MILFORD, NJ 07646-1811
(201) 207-8578
Mailing address
290 MADISON AVE, NEW MILFORD, NJ 07646-1811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/23/2023
Last updated
01/23/2023
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