Individual
NICHOLAS AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 CEDAR AVE, WEST LONG BRANCH, NJ 07764-1804
(732) 263-4423
Mailing address
34 BRANKO RD, BERKELEY HEIGHTS, NJ 07922-2324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00209800
NJ
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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