Mr John Edward Avery, PA-C | |
65 Concord Ave, Glen Rock, NJ 07452-1602 | |
(201) 612-0907 | |
Not Available |
Full Name | Mr John Edward Avery |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 65 Concord Ave, Glen Rock, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043393416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | MP00475 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Mr John Edward Avery, PA-C 65 Concord Ave, Glen Rock, NJ 07452-1602 Ph: (201) 612-0907 | Mr John Edward Avery, PA-C 65 Concord Ave, Glen Rock, NJ 07452-1602 Ph: (201) 612-0907 |
Spencer Louis Ochner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 266 Harristown Rd Ste 305, Glen Rock, NJ 07452 Phone: 201-475-9421 Fax: 201-475-1555 | |
Tyler Anthony Manlangit, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 Harristown Rd, Glen Rock, NJ 07452 Phone: 844-366-8800 |