Individual
TARA MARIE AVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
220 HAMBURG TPKE STE 21, WAYNE, NJ 07470-2132
(973) 365-4318
Mailing address
220 HAMBURG TPKE STE 21, WAYNE, NJ 07470-2132
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26NR17158000
NJ
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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