Individual
AMY M EVANGELISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 E. EVESHAM ROAD, BLDG 800, SUITE 115, VOORHEES, NJ 08043
(856) 424-5005
(856) 424-4716
Mailing address
2301 E. EVESHAM ROAD, BLDG 800, SUITE 115, VOORHEES, NJ 08043-4509
(856) 424-5005
(856) 424-4716
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA07800100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010006995
AMERICHOICE
NJ
01
—
1661111
AMERIHEALTH PPO PABS
NJ
01
—
2337004000
AMERIHEALTH HMO
NJ
01
—
2428351
UNITED HEALTCARE
NJ
01
—
3655581
AETNA USHEALTHCARE
NJ
01
—
3K6155
HEALTHNET, INC
NJ
01
—
40968
UNIVERSITY HEALTH PLAN
NJ
01
—
8348415
CIGNA
NJ
01
—
P3556050
OXFORD HEALTH PLAN
NJ
Enumeration date
09/25/2006
Last updated
05/16/2018
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