Individual
DR. AMARNATH AVANCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 GREGORY AVE, SUITE 102, PASSAIC, NJ 07055-4856
(973) 777-1132
Mailing address
124 GREGORY AVE, SUITE 102, PASSAIC, NJ 07055-4856
(973) 777-1132
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA058773
NJ
207UN0901X
Nuclear Cardiology Physician
MA058773
NJ
Other
Enumeration date
05/12/2008
Last updated
12/07/2012
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