Organization
AMARNATH AVANCHA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARNATH AVANCHA MD,FACC (PRESIDENT)
(973) 777-1132
Entity
Organization
Contact information
Practice address
124 GREGORY AVE., UNIT 102, PASSAIC, NJ 07055-4856
(973) 777-1132
(973) 458-9850
Mailing address
124 GREGORY AVE, UNIT 102, PASSAIC, NJ 07055-4856
(973) 777-1132
(973) 458-9850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA058773
NJ
207UN0901X
Nuclear Cardiology Physician
MA058773
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7462409
—
NJ
Enumeration date
07/31/2006
Last updated
10/23/2012
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