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Individual
DR. BRUCE G. EVENCHIK
Active
Individual
DR. BRUCE G. EVENCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
148821
NY
207W00000X
Ophthalmology Physician
Primary
47753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154954
—
MA
01
—
1010050002
GB MEDICARE NSC
MA
Enumeration date
04/11/2006
Last updated
10/04/2026
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