Individual
LAWRENCE V BOSCAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
194 2ND AVE, CEDAR GROVE, NJ 07009-1141
(973) 256-0330
(973) 812-0339
Mailing address
194 2ND AVE, CEDAR GROVE, NJ 07009-1141
(973) 256-0330
(973) 812-0339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00234300
NJ
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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