Individual
DIANA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 CAPITAL WAY STE 456, PENNINGTON, NJ 08534-2521
(609) 537-7300
(609) 537-7301
Mailing address
2 CAPITAL WAY STE 456, PENNINGTON, NJ 08534-2521
(609) 537-7300
(609) 537-7301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00362800
NJ
Other
Enumeration date
04/03/2015
Last updated
08/03/2021
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