Individual
JOHN D'AVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, STE 900, HARTFORD, CT 06106-5501
(860) 241-0700
(860) 525-7881
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
017425
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117425900
—
CT
Enumeration date
09/22/2006
Last updated
02/11/2010
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