Individual
MS. KAREN HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
445 GODWIN AVE, MIDLAND PARK, NJ 07432-1507
(201) 444-4550
Mailing address
1369 OXFORD ST, MAHWAH, NJ 07430-3260
(201) 962-2307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00007900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MT00007900
NJ LICENSE-REGISTRATION
NJ
Enumeration date
05/02/2007
Last updated
07/08/2007
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