Individual
ALESSIA PRIMAVERA SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2301 E EVESHAM RD STE 110A, VOORHEES, NJ 08043-4501
(856) 325-4200
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00885100
NJ
363AS0400X
Surgical Physician Assistant
9118030
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2023
Last updated
05/21/2025
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