Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY MANCUSO
Active Sole ProprietorTIMOTHY MANCUSO is a Athletic Trainer healthcare provider located in NORTH BRUNSWICK, New Jersey. NPI 1962052795 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORTH BRUNSWICK, NJ
Registration Details
- NPI Number
- 1962052795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2019 (6.8759905129468 yrs)
- Last Updated
- Sep 13, 2019
- License
-
25MT00187000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 LARSON CTNORTH BRUNSWICK, NJ, 089029636Browse NJ providers · Browse ZIP 08902
- Phone
- 7325128585
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORTH BRUNSWICK, NJ
| Name | Credential | NPI |
|---|---|---|
| MISS JULIE ANN YOUNGMAN | — | 1720544430 |
| KHALIF DUBOSE | MS LAT ATC | 1194473363 |
| SEAN BREHENEY | — | 1912617341 |
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.