MEDICARE: DR. MICHAEL F. AVALLONE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	111N00000X	Chiropractor
3	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000028	OTHER	PA	AETNA PROVIDER NUMBER
2	0058528001	OTHER	PA	KEYSTONE PROVIDER NUMBER

General Provider Information

NPI Number	:	1174564579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MICHAEL F. AVALLONE ASSOCIATES

Provider Business Mailing Address
First Line	:	2813 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1421
Country	:	US
Telephone Number	:	215-332-9666
Fax Number	:	267-672-8273

Provider Business Practice Location Address
First Line	:	2813 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1421
Country	:	US
Telephone Number	:	215-332-9666
Fax Number	:	267-672-8273

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL F AVALLONE JR.
Credential	:	D.O.
Telephone Number	:	215-332-9666

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/11/2025

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