Individual
TARA DONOFRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 CASTLE POINT ON HUDSON, STEVENS INSTITUTE OF TECHNOLOGY, HOBOKEN, NJ 07030
(201) 216-5695
Mailing address
542 LEXINGTON AVE, CRANFORD, NJ 07016-2736
(570) 419-2005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00170800
NJ
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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