Individual
MR. GREGORY P AVELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1550 W 5TH AVE, COLUMBUS, OH 43212-2495
(614) 488-6528
(614) 488-0226
Mailing address
1376 MEADOW RD, COLUMBUS, OH 43212-3067
(614) 485-0112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5107
OH
363A00000X
Physician Assistant
Primary
50.004338
OH
Other
Enumeration date
06/09/2005
Last updated
01/12/2016
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