DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THADDEUS M AVERSA, DO

Active Sole Proprietor

DR. THADDEUS M AVERSA, DO is a Family Medicine healthcare provider located in PHILLIPSBURG, New Jersey. NPI 1417915968 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PHILLIPSBURG, NJ

Registration Details

NPI Number
1417915968
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2006 (20.279257821677 yrs)
Last Updated
Oct 14, 2016
Licenses
25MB065920 (NJ)
OS008958L (PA)
OS008958L (PA)
Sole Proprietor
Yes

Practice Information

Address
410 COVENTRY CENTRE DR
PHILLIPSBURG, NJ, 08865
Browse NJ providers · Browse ZIP 08865
Phone
9084549902
Fax
9084549905
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine

Other Family Medicine Providers in PHILLIPSBURG, NJ

Name Credential NPI
DR. MARY SICILIANO D.O. 1205834454
DR. RAYMOND S BUCH M.D. 1023016227
DR. EUGENE M DECKER D.O. 1619975687
ILEANA ORTIZ-EVANS MD 1053301499
LAURA D KROPF DO 1841259363
LUCIEN S BAUTISTA DO 1982663480
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.