Individual
LAUREN MASTROBUONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
170 LIBERTY ST, BLOOMFIELD, NJ 07003
(973) 748-9000
Mailing address
467 FRANKLIN ST, BLOOMFIELD, NJ 07003-3425
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00155800
NJ
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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