John Aversa
Surgeon General Practice Physician
5255 Loughboro Rd Nw
Washington
, District of Columbia 20016
John Aversa
Surgeon General Practice Physician
5255 Loughboro Rd Nw
Washington
, District of Columbia 20016
(574) 520-9172
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About
Features
Specialties
- Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- John Aversa
- 3925 Fulton St Nw Apt 5
- Washington, DC
- Zip : 20007-1378
- Phone : (574) 520-9172
Second Address
- John Aversa
- 5255 Loughboro Rd Nw
- Washington, DC
- Zip : 20016
- Phone : (202) 660-6820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | MD046426 | DC |
| Y | 208600000X | Surgeon | MD046426 | DC |
| N | 208D00000X | General Practice Physician | MD046426 | DC |
National Provider Identifier
| NPI | 1043666985 |
|---|---|
| Provider Name | John Aversa |
| First Address | Washington, DC 20007-1378 |
| Second Address | Washington, DC 20016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2016 |
| Last Update Date | 19/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.