Individual
DR. ELENA F AVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2107B COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 235-4060
Mailing address
269 GORDEN DR, PARAMUS, NJ 07652-3323
(201) 835-6459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DGD.10176
SC
122300000X
Dentist
Primary
DS043906
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2022
Last updated
11/15/2022
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