Jason Gustave
Jason Gustave is an Athletic Trainer in Wayne, New Jersey. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
300 Pompton RdWayne, NJ 07470-2103
Phone: (201) 786-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1164930285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | December 16, 2021 |
| Certification date | February 25, 2021 |
| Mailing address | 310 N Broad St, Elizabeth, NJ 07207-6900 |
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