Individual
DR. VINCENT RICHARD AVALLONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 ORANGE ST, LEBANON, PA 17042-7033
(717) 270-6900
(717) 270-8900
Mailing address
801 ORANGE ST, LEBANON, PA 17042-7033
(717) 270-6900
(717) 270-8900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS-005582-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001125350
—
PA
Enumeration date
06/08/2005
Last updated
01/07/2022
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