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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN DEPINO, ATC

Active

MR. GLEN DEPINO, ATC is a Athletic Trainer healthcare provider located in GLADSTONE, New Jersey. NPI 1467577262 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GLADSTONE, NJ

Registration Details

NPI Number
1467577262
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.387864945973 yrs)
Last Updated
Jul 26, 2010
License
25MT00074500 (NJ)

Practice Information

Address
ST . BERNARD'S RD
GLADSTONE, NJ, 079340604
Browse NJ providers · Browse ZIP 07934
Phone
9082341611
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.