Individual
VICTOR JOSE AVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7504
Mailing address
425 MASSACHUSETTS AVE NW APT 1007, WASHINGTON, DC 20001-7631
(305) 494-5638
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA000030
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027447100
—
DC
Enumeration date
10/12/2011
Last updated
10/12/2011
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