Individual
NICHOLAS J AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 MEMORIAL PKWY, SUITE 105, PHILLIPSBURG, NJ 08865-2748
(908) 859-8884
(908) 859-6841
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-6309
(908) 859-8884
(908) 859-6841
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA08202400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294471
—
NJ
Enumeration date
02/02/2007
Last updated
07/24/2012
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