Individual
DR. ROSSANA I AVELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7555
(215) 590-7387
Mailing address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD075600L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD075600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956144-0001
—
PA
Enumeration date
08/16/2006
Last updated
01/12/2009
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