Individual
STEVEN BARANDICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, LAT, EMT
Contact information
Practice address
1 SAMUEL LUPO PL, WOODBRIDGE, NJ 07095-3155
(732) 602-8635
Mailing address
928 WOODLAWN AVE, LINDEN, NJ 07036-3348
(908) 494-9995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00208200
NJ
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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