Douglas George Avella, M.D. Valid NPI

Individual provider · Pediatric Orthopaedic Surgery Physician · Ridgewood, NJ

NPI

1437200672

Type

Individual (Type 1)

Primary specialty

Pediatric Orthopaedic Surgery Physician (Orthopaedic Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207XP3100X

License number

25MA03908700 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-15

Last updated

2012-01-20