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NPI Code Detail

MEDICARE: MR. AARON FRANK HAJART MS, ATC, LAT, EMT

MEDICARE: MR. AARON FRANK HAJART MS, ATC, LAT, EMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer25MT00125100NJ

General Provider Information

NPI Number : 1760461990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON FRANK HAJART MS, ATC, LAT, EMT
Provider Business Mailing Address
First Line : 53 46TH ST
Second Line : #2
City : WEEHAWKEN
State : NJ
Zip : 07086-7160
Country : US
Telephone Number : 845-661-8946
Fax Number : 201-265-7355
Provider Business Practice Location Address
First Line : 440 OLD HOOK RD
Second Line : PROFESSIONAL SPORTS MEDICINE ASSOCIATES
City : EMERSON
State : NJ
Zip : 07630-2302
Country : US
Telephone Number : 201-265-4400
Fax Number : 201-265-7355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 07/08/2007

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