Provider Demographics
NPI:1770650723
Name:APPEL, AVIDON (DO, MBA)
Entity Type:Individual
Prefix:DR
First Name:AVIDON
Middle Name:
Last Name:APPEL
Suffix:
Gender:M
Credentials:DO, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 COMPUTER RD
Mailing Address - Street 2:EXECUTIVE MEWS SUITE M-70
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1752
Mailing Address - Country:US
Mailing Address - Phone:215-659-3770
Mailing Address - Fax:215-659-2425
Practice Address - Street 1:2300 COMPUTER RD
Practice Address - Street 2:EXECUTIVE MEWS SUITE M-70
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1752
Practice Address - Country:US
Practice Address - Phone:215-659-3770
Practice Address - Fax:215-659-2425
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013403207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine