Individual
MICHAEL PAWLUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(732) 445-8420
Mailing address
250 EVANS AVE, PISCATAWAY, NJ 08854-2809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00124500
NJ
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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