Individual
GARO CHARLES AVETIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 GREENTREE RD, SUITE A, CHERRY HILL, NJ 08003-1115
(856) 761-8100
(856) 761-8107
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 926-9022
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08454100
NJ
207R00000X
Internal Medicine Physician
OS-007148-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013936400
NPI
NJ
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RAILROAD MEDICARE
PA
Enumeration date
07/18/2006
Last updated
08/14/2012
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