| Aurevia Medical Llc | |
|
640 Park Ave Hoboken NJ 07030-4176 | |
| (201) 275-3698 | |
| (919) 443-1034 |
| Full Name | Aurevia Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 640 Park Ave, Hoboken, New Jersey |
| Authorized Official Name and Position | Lynnea Villanova (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9177562312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurevia Medical Llc 140 Berkeley Pl Apt 1 Brooklyn NY 11217-3968 Ph: (917) 756-2312 | Aurevia Medical Llc 640 Park Ave Hoboken NJ 07030-4176 Ph: (201) 275-3698 |
| NPI Number | 1568338663 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 10/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568338663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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