Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN HENRY CORCORAN, MSA, ATC, LAT
Active Sole ProprietorJUSTIN HENRY CORCORAN, MSA, ATC, LAT is a Athletic Trainer healthcare provider located in SUMMIT, New Jersey. NPI 1487050902 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SUMMIT, NJ
Registration Details
- NPI Number
- 1487050902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2014 (11.78889501858 yrs)
- Last Updated
- Nov 11, 2014
- Licenses
-
002266-1 (NY)25MT00178900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
68 RIVER RDSUMMIT, NJ, 079011450Browse NJ providers · Browse ZIP 07901
- Phone
- 2012770800
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SUMMIT, NJ
| Name | Credential | NPI |
|---|---|---|
| ASHLEY MURPHY | ATC | 1942631171 |
| ALYSIA LOPEZ | — | 1184293565 |
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.