Individual
MR. ANTHONY MICHAEL AVERSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCC-SLP
Contact information
Practice address
4 BELLE PL, MATAWAN, NJ 07747-2306
(732) 991-4954
Mailing address
4 BELLE PL, MATAWAN, NJ 07747-2306
(732) 441-3396
(718) 720-7482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005474-1
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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