Aversa, Anthony J

Aversa, Anthony J is an sole proprietor health care provider with primary practice located at 197 Loudon Rd Ste 350 , Concord NH 03301. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Aversa, Anthony J can be contacted via phone (978) 691-5690.

Contact Information

Primary practice address
197 Loudon Rd Ste 350 Concord NH 03301
Fax: (978) 691-5693
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6913 New Hampshire

Profile Details

NPI number 1154309623
LBN Legal business name Aversa, Anthony J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Jun 13th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154309623 NPPES
New Hampshire Other 0106867Y0NH01 ANTHEM
New Hampshire Other AA25248 ANTHEM
New Hampshire MEDICAID 80006867 ANTHEM

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