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Individual

MR. JAMES STAVITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC/LAT, FMSC

Contact information

Practice address
1121 SIERRA DR, TOMS RIVER, NJ 08753-5220
(848) 448-6045
Mailing address
1121 SIERRA DR, TOMS RIVER, NJ 08753-5220
(848) 448-6045

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00190500
NJ

Other

Enumeration date
01/20/2014
Last updated
01/20/2014
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