Individual
MS. ED NELVYN LEZETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
385 PROSPECT AVE, BERGEN CBOC-DVA, HACKENSACK, NJ 07601-2570
(201) 342-4536
(201) 342-7962
Mailing address
1735 VAN CORTLAND TER, TEANECK, NJ 07666-6234
(201) 342-4536
(201) 342-7962
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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