Individual
MS. ALYSSA MARIA AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8880
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(267) 764-7922
(215) 243-4649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00745300
NJ
363A00000X
Physician Assistant
Primary
MA064165
PA
363A00000X
Physician Assistant
OA006046
PA
Other
Enumeration date
11/01/2022
Last updated
08/27/2023
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