Justin Henry Corcoran, MSA, ATC, LAT
NPI #1487050902 in Summit, New Jersey
Provider Information
- NPI Number
- 1487050902
- Entity Type
- Individual
- Name
- Justin Henry Corcoran, MSA, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MSA, ATC, LAT
- Enumeration Date
- Nov 11, 2014
- Last Updated
- Nov 11, 2014
Practice Location
- Address
- 68 RIVER RD
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-1450
- Phone
- (201) 277-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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