Active NPIIndividual provider

Dr. Eric S Avezzano, MD

Internal Medicine, Gastroenterology in Emerson, New Jersey

NPI Number1578591814
Practice location
466 Old Hook RD, Suite #1, Emerson, NJ 07630-1396
Fax
201-634-9647
Last updated
July 13, 2007

Eric S Avezzano is an Internal Medicine, Gastroenterology based in Emerson, NJ. Eric S Avezzano practices in Emerson, NJ and has the professional credentials of MD. The NPI Number for Eric S Avezzano is 1578591814 and holds a License No. MA54774 (NJ). The current practice location address for Eric S Avezzano is 466 Old Hook RD, Suite #1, Emerson, NJ 07630-1396 and can be reached out via phone at 201-967-8221 and via fax at 201-634-9647.

Provider Profile Details

NPI Number
1578591814
Provider Name
Eric S Avezzano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
466 Old Hook RD, Suite #1, Emerson, NJ 07630-1396
Phone Number
201-967-8221
Fax Number
201-634-9647
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2006
Last Update Date
July 13, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
466 Old Hook RD
Suite #1
Emerson, NJ 07630-1396
Zip
07630-1396
Phone Number
201-967-8221
Fax Number
201-634-9647
Emerson, NJ 07630Get directions →

Provider Business Mailing Address Details

Address
466 Old Hook RD
Suite #1
Emerson, NJ 07630-1396
City
Emerson
State
NJ
Zip
07630-1396
Phone Number
201-967-8221

License Information

License Number
MA54774
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eric S Avezzano, MD?

The NPI number of Dr. Eric S Avezzano, MD is 1578591814. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eric S Avezzano, MD?

Dr. Eric S Avezzano, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA54774.

Where does Dr. Eric S Avezzano, MD practice?

The practice location is 466 Old Hook RD, Suite #1, Emerson, NJ 07630-1396. The office can be reached at 201-967-8221 (phone) or 201-634-9647 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578591814 directly on the NPPES registry website.

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