Individual
JUSTIN P MERCOGLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 HOMESTEAD ST, CLIFTON, NJ 07013-1409
(973) 715-3142
Mailing address
21 HOMESTEAD ST, CLIFTON, NJ 07013-1409
(973) 715-3142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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