NPI | 1346411006 |
---|---|
Doing Business As | JAMES AVERSA OD PA |
Entity Type | Organization |
Authorized Contact | JAMES JOHN AVERSA O PT Ometrist 201-288-1109 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00457100) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NJ 27TO00028300) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |