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Contact Information

KEVIN S AVICHAL, PA-C
2317 CENTER ISLAND
ROUTE 22
UNION, NJ07083
 Phone: 201-354-1951
 Fax: 201-354-1952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEVIN S AVICHAL · (Male)

NPI Number 1174040539
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/26/2017
Last updated 05/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00445700
  • NY License # 021217
Hospital affiliation(s)
  • BAYONNE HOSPITAL CENTER - (Acute Care)
    29 EAST 29TH ST
    BAYONNE, NJ 07002
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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