Dr. Douglas George Avella
Pediatric Orthopaedic Surgeon
140 Chestnut St Suite 201
Ridgewood
, New Jersey 07450-2599
Dr. Douglas George Avella
Pediatric Orthopaedic Surgeon
140 Chestnut St Suite 201
Ridgewood
, New Jersey 07450-2599
(201) 445-9050
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Douglas George Avella
- 140 Chestnut St Suite 201
- Ridgewood, NJ
- Zip : 07450-2599
- Fax : (201) 445-9050
- Phone : (201) 612-9988
Second Address
- Dr. Douglas George Avella
- 140 Chestnut St Suite 201
- Ridgewood, NJ
- Zip : 07450-2599
- Fax : (201) 445-9050
- Phone : (201) 612-9988
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA03908700 | NJ |
National Provider Identifier
| NPI | 1437200672 |
|---|---|
| Provider Name | Dr. Douglas George Avella |
| First Address | Ridgewood, NJ 07450-2599 |
| Second Address | Ridgewood, NJ 07450-2599 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2007 |
| Last Update Date | 20/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0961576-004 | CIGNA (01) | NJ |
| 1822900 | (05) | NJ |
| 81042 | AMERIGROUP (01) | NJ |
| 81D03 | EMPIRE BCBS (01) | NJ |
| BS472 | OXFORD (01) | NJ |
| C61670 | (02) | NJ |
| J31130 | HEALTHNET (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.