Colyer-Aversa, Lori Ann
Colyer-Aversa, Lori Ann is an individual health care provider with primary practice located at 399 Hoover Ave Suite 5, Bloomfield NJ 07003-3924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Colyer-Aversa, Lori Ann can be contacted via phone (973) 748-9500.Contact Information
Primary practice address
399 Hoover Ave Suite 5
Bloomfield NJ 07003-3924
Phone: (973) 748-9500
Fax: (973) 748-9492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA58011 | New Jersey |
Profile Details
| NPI number | 1376582734 |
|---|---|
| LBN Legal business name | Colyer-Aversa, Lori Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 12th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376582734 | NPPES |
| New Jersey | MEDICAID | 5553903-01 |
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