John Edward Avery in Glen Rock - Physician Assistant
John Edward Avery - NPI 1043393416
John Edward Avery is a Physician Assistant in Glen Rock, New Jersey. John Edward Avery practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Edward Avery is 1043393416. The last update date is 2007-07-08.
John Edward Avery's current location address is 65 Concord Ave, Glen Rock, New Jersey. You can contact this provider via phone number 2016120907. The mailing address for John Edward Avery is 65 Concord Ave, Glen Rock, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edward Avery |
|---|---|
| Address | 65 Concord Ave, Glen Rock, New Jersey |
| Phone Number | 2016120907 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043393416 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Concord Ave |
|---|---|
| City | Glen Rock |
| State | New Jersey (NJ) |
| Post Code | 74521602 |
| Phone Number | 2016120907 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MP00475 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John Edward Avery?
The John Edward Avery has been issued the NPI (National Provider Identifier) 1043393416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John Edward Avery is geographically located?
The John Edward Avery is physically situated at the following location: 65 Concord Ave, Glen Rock, NJ, 74521602.
What is the area of specialization for John Edward Avery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Edward Avery is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did John Edward Avery receive its 1043393416 assignment?
The John Edward Avery was assigned its 1043393416 on 2006-10-21, which is the date when this unique identifier was issued to the organization.
As of what date were the John Edward Avery's details last updated?
The information pertaining to the John Edward Avery, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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