Organization
JAMES AVERSA OD PA
Active
Parent organization
JAMES AVERSA OD PA
Other names
James Aversa OD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES AVERSA OD PA
Authorized official
DR. JAMES JOHN AVERSA OD (OPTOMETRIST)
(201) 288-1109
Entity
Organization
Contact information
Practice address
227 1/2 BLVD., HASBROUCK HEIGHTS, NJ 07604-1901
(201) 288-1109
(201) 288-1589
Mailing address
227 1/2 BLVD, HASBROUCK HEIGHTS, NJ 07604-1901
(201) 288-1109
(201) 288-1589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00457100
NJ
332BC3200X
Customized Equipment (DME)
27TO00028300
NJ
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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