Individual
JUSTIN F VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
22 E MORRIS AVE APT 2, LINDEN, NJ 07036-3277
(201) 705-7774
Mailing address
22 E MORRIS AVE APT 2, LINDEN, NJ 07036-3277
(201) 705-7774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00332000
NJ
Other
Enumeration date
04/20/2023
Last updated
11/01/2024
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