Individual
DR. MICHAEL AVATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8019 CASTOR AVE, PHILADELPHIA, PA 19152-2733
(215) 742-6767
(215) 742-6519
Mailing address
8019 CASTOR AVE, PHILADELPHIA, PA 19152-2733
(215) 742-6767
(215) 742-6519
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005649-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011369110001
—
PA
Enumeration date
06/17/2005
Last updated
07/08/2007
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