Individual
PETER J CARFAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1 HIDDEN VALLEY CT, HOWELL, NJ 07731-2972
(610) 217-9905
Mailing address
1 HIDDEN VALLEY CT, HOWELL, NJ 07731-2972
(610) 217-9905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00268300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/18/2019
Last updated
09/06/2019
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