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Individual
DR. JOHN MICHAEL AVALLONE
Active
Individual
DR. JOHN MICHAEL AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D36805
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
1554500
AETNA HMO
—
05
—
406116100
—
MD
01
—
61759202
BCBS
—
01
—
7869439
AETNA PPO
—
Enumeration date
08/09/2006
Last updated
08/06/2008
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