MATTHEW AVENOSO
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1548898141- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 30 PROSPECT AVE, HACKENSACK, NJ, 076011915
- Phone
- (551) 996-2000
Specialties & Taxonomies
Emergency Medicine
Primary License: NJ #25MA11837000