Organization
ANTHONY J AVERSA MD
Active
Other names
Dermatology Associates of Concord
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH AVERSA MD (OWNER)
(603) 224-2251
Entity
Organization
Contact information
Practice address
111 LOUDON RD, CONCORD, NH 03301-5605
(603) 224-2251
(603) 228-7047
Mailing address
111 LOUDON RD, CONCORD, NH 03301-5605
(603) 224-2251
(603) 228-7047
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6913
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106867Y0NH01
ANTHEM
NH
05
—
80006867
—
NH
01
—
AA25248
HARVARD PILGRIM HLTHCARE
NH
Enumeration date
03/14/2007
Last updated
08/22/2020
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