Organization
HIGH CREST MEDICAL, LLC
Active
Other names
High Crest Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE L EVANS II MD (PHYSICIAN)
(973) 808-5550
Entity
Organization
Contact information
Practice address
50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
(973) 808-5550
(973) 808-5999
Mailing address
50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
(973) 808-5550
(973) 808-5999
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044862WGE
MEDICARE RENDERING PROVIDER NUMBER
NJ
Enumeration date
10/08/2009
Last updated
10/08/2009
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