Individual
MR. KAYVON AMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
376 LAFAYETTE RD STE 202, SPARTA, NJ 07871-3560
(908) 684-2480
Mailing address
286 4TH ST APT 2, NEWARK, NJ 07107-3213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00540900
NJ
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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