Individual
MR. DONALD TOMASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
223 N VAN DIEN AVE, SPORTS INSTITUTE, RIDGEWOOD, NJ 07450-2726
(201) 447-8133
(201) 251-3253
Mailing address
223 N VAN DIEN AVE, SPORTS INSTITUTE, RIDGEWOOD, NJ 07450-2726
(201) 447-8133
(201) 251-3253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00031000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MT00031000
NJ BOARD OF MEDICAL EXAMINERS
NJ
Enumeration date
09/24/2013
Last updated
09/24/2013
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