Individual
TREVOR H ATHERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, L3, NEWARK, NJ 07112
(973) 926-7323
(973) 705-3096
Mailing address
201 LYONS AVE, L3, NEWARK, NJ 07112
(973) 926-7323
(973) 705-3096
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MA31166
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943905
—
NJ
01
—
MA31166
STATE LICENSE
NJ
Enumeration date
09/07/2006
Last updated
03/07/2023
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