Individual
AVI LOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 RIVER AVE, MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS, LAKEWOOD, NJ 08701-3002
(732) 886-4525
Mailing address
1281 CENTRAL AVE, LAKEWOOD, NJ 08701-3002
(732) 575-6745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00337100
NJ
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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