Individual
TERESE ALFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BERGEN ST, SUITE 8100, NEWARK, NJ 07103-2425
(973) 972-2326
Mailing address
91 DENHAM RD, SPRINGFIELD, NJ 07081-1139
(973) 972-7636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00195100
NJ
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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