| Organization Name: | AHA MEDICAL PC |
| NPI Number: | 1871721498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES R AVELLINI (OWNER) |
| Mailing Address: | 364 Broad St Keyport |
| State: | NJ US |
| Postal Code: | 077351619 |
| Phone Number: | 8003813108 |
| Fax Number: | 8003220262 |
| NPI Enumeration Date: | 06/23/2009 |
| NPI Last Update Date: | 06/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | 148049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |