Individual
DR. JOHN MICHAEL AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 CHURCH RD, ARNOLD, MD 21012-2306
(410) 757-2778
(410) 757-0632
Mailing address
83 CHURCH RD, ARNOLD, MD 21012-2306
(410) 757-2778
(410) 757-0632
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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