Avallone, Nicholas J

Avallone, Nicholas J is an individual health care provider with primary practice located at 755 Memorial Pkwy Suite 105, Phillipsburg NJ 08865-2748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Avallone, Nicholas J can be contacted via phone (908) 859-8884.

Contact Information

Primary practice address
755 Memorial Pkwy Suite 105 Phillipsburg NJ 08865-2748
Phone: (908) 859-8884
Fax: (908) 859-6841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA08202400 New Jersey

Profile Details

NPI number 1790823755
LBN Legal business name Avallone, Nicholas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790823755 NPPES
New Jersey MEDICAID 0294471

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