# DR. JOHN MICHAEL AVALLONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205846102
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D36805 | MD | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001 | BCBS | — |
| 01 | — | 1554500 | AETNA HMO | — |
| 05 | — | 406116100 | — | MD |
| 01 | — | 61759202 | BCBS | — |
| 01 | — | 7869439 | AETNA PPO | — |