Individual
ANTHONY J AVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
197 LOUDON RD STE 350, CONCORD, NH 03301
(978) 691-5690
(978) 691-5693
Mailing address
280 MERRIMACK ST STE 311, LAWRENCE, MA 01843-1779
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6913
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106867Y0NH01
ANTHEM
NH
05
—
80006867
—
NH
01
—
AA25248
HARVARDPILGRIM HEALTHCARE
NH
Enumeration date
01/05/2006
Last updated
06/13/2018
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