Individual
MISS SUZANNE BARBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Contact information
Practice address
259 BARTLEY RD, CHESTER, NJ 07930-2056
(908) 879-5212
Mailing address
36 ANN RD, LONG VALLEY, NJ 07853-3504
(908) 813-9590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00000500
NJ
Other
Enumeration date
08/14/2006
Last updated
11/30/2008
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