Individual
MATTHEW GEORGE BUSACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 GARDENS AVE, POINT PLEASANT BORO, NJ 08742-4043
(732) 552-6253
Mailing address
1225 GARDENS AVE, POINT PLEASANT BORO, NJ 08742-4043
(732) 552-6253
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NJ
224Y00000X
Clinical Exercise Physiologist
Primary
—
NJ
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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