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Individual

JOHN A AVALLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1203 LANGHORNE NEWTOWN RD STE 120, LANGHORNE, PA 19047-1211
(267) 364-9100
(267) 364-9101
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181

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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