Organization
AVALON MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COVONE (VICE PRESIDENT)
(856) 533-2455
Entity
Organization
Contact information
Practice address
1317 ROUTE 73, SUITE 108, MOUNT LAUREL, NJ 08054-2202
(856) 533-2455
(856) 533-2419
Mailing address
1317 ROUTE 73, SUITE 108, MOUNT LAUREL, NJ 08054-2202
(856) 533-2455
(856) 533-2419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0600334034
NJ
Other
Enumeration date
11/03/2008
Last updated
06/06/2014
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