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NPI Verification

National Provider Identifier: 1417915968

Thaddeus M Aversa, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Primary

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Practice Address

410 COVENTRY CENTRE DR

PHILLIPSBURG, NJ 08865

Phone: 908-454-9902

NPI Enumeration Date

May 3, 2006

NPI Number

1417915968

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Thaddeus Aversa, DO - NPI 1417915968 | Provider Verification | HormoneMap