Avanesova, Natalya O
Avanesova, Natalya O is an sole proprietor health care provider with primary practice located at 193 Rt 9 South, Suite 1 D , Manalapan NJ 07726-3016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Avanesova, Natalya O can be contacted via phone (732) 677-2505.Contact Information
Primary practice address
193 Rt 9 South, Suite 1 D
Manalapan NJ 07726-3016
Phone: (732) 677-2505
Fax: (732) 677-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07613800 | New Jersey |
Profile Details
| NPI number | 1902891583 |
|---|---|
| LBN Legal business name | Avanesova, Natalya O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 7th, 2023 - about 2 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 | 1902891583 | NPPES |
| New Jersey | MEDICAID | 0044407 |
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