Organization
AHA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R AVELLINI MD (OWNER)
(800) 381-3108
Entity
Organization
Contact information
Practice address
364 BROAD ST, KEYPORT, NJ 07735-1619
(800) 381-3108
(800) 322-0262
Mailing address
364 BROAD ST, KEYPORT, NJ 07735-1619
(800) 381-3108
(800) 322-0262
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
148049
NJ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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