Tanya M Dargusch, ATC/LAT
Specialist/Technologist, Athletic Trainer in Sewell, New Jersey
1407848856- Practice location
- 529 Hurffville Crosskeys RD, 11-12 Wing, Sewell, NJ 08080-2831
- Phone
- 856-589-8500
- Fax
- 856-259-8924
- Last updated
- July 16, 2013
Tanya M Dargusch is a Specialist/Technologist, Athletic Trainer based in Sewell, NJ. Tanya M Dargusch practices in Sewell, NJ and has the professional credentials of ATC/LAT. The NPI Number for Tanya M Dargusch is 1407848856 and holds a License No. 25MT00026200 (NJ). The current practice location address for Tanya M Dargusch is 529 Hurffville Crosskeys RD, 11-12 Wing, Sewell, NJ 08080-2831 and can be reached out via phone at 856-589-8500 and via fax at 856-259-8924.
Provider Profile Details
- NPI Number
- 1407848856
- Provider Name
- Tanya M Dargusch
- Credential
- ATC/LAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 529 Hurffville Crosskeys RD, 11-12 Wing, Sewell, NJ 08080-2831
- Phone Number
- 856-589-8500
- Fax Number
- 856-259-8924
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2005
- Last Update Date
- July 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 529 Hurffville Crosskeys RD
11-12 Wing
Sewell, NJ 08080-2831 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2831
- Phone Number
- 856-589-8500
- Fax Number
- 856-259-8924
Provider Business Mailing Address Details
- Address
- 18 Upton Way
Sewell, NJ 08080-3619 - City
- Sewell
- State
- NJ
- Zip
- 08080-3619
- Phone Number
- 856-227-8812
License Information
- License Number
- 25MT00026200
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tanya M Dargusch, ATC/LAT?
The NPI number of Tanya M Dargusch, ATC/LAT is 1407848856. It was assigned on August 20, 2005 and is currently active in the NPPES registry.
What is the specialty of Tanya M Dargusch, ATC/LAT?
Tanya M Dargusch, ATC/LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00026200.
Where does Tanya M Dargusch, ATC/LAT practice?
The practice location is 529 Hurffville Crosskeys RD, 11-12 Wing, Sewell, NJ 08080-2831. The office can be reached at 856-589-8500 (phone) or 856-259-8924 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407848856 directly on the NPPES registry website.