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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962052795 NPPES
New Jersey Other RJU3HZN96119450 BLUECROSS BLUESHIELD

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