Mancuso, Timothy
Mancuso, Timothy is an sole proprietor health care provider with primary practice located at 5 Larson Ct , North Brunswick NJ 08902-9636. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mancuso, Timothy can be contacted via phone (732) 512-8585.Contact Information
Primary practice address
5 Larson Ct
North Brunswick NJ 08902-9636
Phone: (732) 512-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 25MT00187000 | New Jersey |
Profile Details
| NPI number | 1962052795 |
|---|---|
| LBN Legal business name | Mancuso, Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2019 |
| Last updated | Sep 13th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962052795 | NPPES |
| New Jersey | Other | RJU3HZN96119450 | BLUECROSS BLUESHIELD |
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