Individual
STEPHANIE KOMOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 LORRAINE ST, GLEN RIDGE, NJ 07028-2028
(973) 464-3402
Mailing address
28 LORRAINE ST, GLEN RIDGE, NJ 07028-2028
(973) 464-3402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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