Individual
JOSEPH A EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 CORPORATE DR, #2-2, TRUMBULL, CT 06611-1351
(203) 268-8673
Mailing address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028306
CT
Other
Enumeration date
06/22/2005
Last updated
07/01/2013
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