Individual
JOHN A AVALLONE
Active
Individual
JOHN A AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS007182L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014636060006
—
PA
01
—
0710172000
KEYSTONE IBC
PA
01
—
1023483
CIGNA
PA
01
—
4471294
AETNA
PA
01
—
766318
HIGHMARK BLUE SHIELD
PA
01
—
8040722
AETNA
PA
Enumeration date
09/20/2005
Last updated
05/13/2021
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