Atherley, Trevor H
Atherley, Trevor H is an individual health care provider with primary practice located at 201 Lyons Ave L3, Newark NJ 07112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Atherley, Trevor H can be contacted via phone (973) 926-7323.Contact Information
Primary practice address
201 Lyons Ave L3
Newark NJ 07112
Phone: (973) 926-7323
Fax: (973) 705-3096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MA31166 | New Jersey |
Profile Details
| NPI number | 1710080114 |
|---|---|
| LBN Legal business name | Atherley, Trevor H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1710080114 | NPPES |
| New Jersey | MEDICAID | 2943905 | |
| New Jersey | Other | MA31166 |
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