Individual
MARK BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 380-0922
Mailing address
509 FAIRVIEW TER, RIDGEFIELD, NJ 07657-2806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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