Individual
PETER EVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
996 E MAIN ST, TORRINGTON, CT 06790-3909
(860) 866-5809
Mailing address
6865 WINDCREST DR, PLANO, TX 75024-3086
(866) 990-0599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006882
NY
363AM0700X
Medical Physician Assistant
Primary
6417
CT
Other
Enumeration date
06/12/2006
Last updated
04/01/2024
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