Provider Demographics
NPI:1275528861
Name:AVALLONE, JOHN A (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:AVALLONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 120
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1211
Practice Address - Country:US
Practice Address - Phone:267-364-9100
Practice Address - Fax:267-364-9101
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2021-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007182L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023483OtherCIGNA
PA0710172000OtherKEYSTONE IBC
PA4471294OtherAETNA
PA766318OtherHIGHMARK BLUE SHIELD
PA8040722OtherAETNA
PA0014636060006Medicaid
PA0014636060006Medicaid
F78539Medicare UPIN
PA766318Medicare PIN