| Dr. Michael F. Avallone Associates | |
|
2813 Cottman Ave Philadelphia PA 19149-1421 | |
| (215) 332-9666 | |
| (267) 672-8273 |
| Full Name | Dr. Michael F. Avallone Associates |
|---|---|
| Speciality | Physical Therapist |
| Location | 2813 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael F Avallone (OWNER) |
| Authorized Official Contact | 2153329666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael F. Avallone Associates 2813 Cottman Ave Philadelphia PA 19149-1421 Ph: (215) 332-9666 | Dr. Michael F. Avallone Associates 2813 Cottman Ave Philadelphia PA 19149-1421 Ph: (215) 332-9666 |
| NPI Number | 1174564579 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062309685 |
|---|---|
| Medicare Enrollment ID | O20040301000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174564579 | NPI | - | NPPES |
| 000028 | Other | PA | AETNA PROVIDER NUMBER |
| 0058528001 | Other | PA | KEYSTONE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael F Avallone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770526758 PECOS PAC ID: 1456489178 Enrollment ID: I20100517000349 |
| Provider Name | David J Sevitski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688935 PECOS PAC ID: 4688702327 Enrollment ID: I20100517000673 |
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