Individual
BRIAN ANDREW PITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
232 CHESTNUT ST, KEARNY, NJ 07032-2502
(201) 407-3314
Mailing address
232 CHESTNUT ST, KEARNY, NJ 07032-2502
(201) 407-3314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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