NPI 1679233274

Mark Barroso

Practitioner Athletic Trainer West Orange, NJ

Practice location

Address: 622 Eagle Rock Ave, West Orange, NJ 07052-2994
Phone: (973) 380-0922
Mailing address: 509 Fairview Ter, Ridgefield, NJ 07657-2806

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1679233274
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2021
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.