Avery, John Edward

Avery, John Edward is an individual health care provider with primary practice located at 65 Concord Ave , Glen Rock NJ 07452-1602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Avery, John Edward can be contacted via phone (201) 612-0907.

Contact Information

Primary practice address
65 Concord Ave Glen Rock NJ 07452-1602
Phone: (201) 612-0907
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MP00475 New Jersey

Profile Details

NPI number 1043393416
LBN Legal business name Avery, John Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 19 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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