Thaddeus M Aversa in Salt Lake City - Internal Medicine

Thaddeus M Aversa - NPI 1417915968

Thaddeus M Aversa is a Internal Medicine in Salt Lake City, Utah. Thaddeus M Aversa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Thaddeus M Aversa is 1417915968. The last update date is 2016-10-14.

Thaddeus M Aversa's current location address is Po Box 27957, Salt Lake City, Utah. You can contact this provider via phone number 9088351910 and fax number 9088351924. The mailing address for Thaddeus M Aversa is Po Box 27957, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Thaddeus M Aversa
Address Po Box 27957, Salt Lake City, Utah
Phone Number 9088351910
Fax Number 9088351924
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1417915968
Provider Enumeration Date 2006-05-03
Last Updated Date 2016-10-14

Provider Mailing Address Detail

Address Po Box 27957
City Salt Lake City
State Utah (UT)
Post Code 841270957
Phone Number 9088351910
Fax Number 9088351924

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No OS008958L
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
963243 NJ AETNA
7437307 NJ --
223733353 NJ HORIZON

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FAQs about Thaddeus M Aversa

What is the Thaddeus M Aversa's unique identification number?

The Thaddeus M Aversa has been assigned the NPI (National Provider Identifier) Number 1417915968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Thaddeus M Aversa's facilities are geographically located?

The facilities of Thaddeus M Aversa are physically situated at the following location: Po Box 27957, Salt Lake City, UT, 841270957.

What is Thaddeus M Aversa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thaddeus M Aversa's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

When did Thaddeus M Aversa receive its 1417915968 assignment?

The Thaddeus M Aversa was assigned its 1417915968 on 2006-05-03, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Thaddeus M Aversa most recently updated or revised?

The details related to Thaddeus M Aversa, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-14.

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