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Individual

DR. EVAN R HACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MEDICAL DOCTOR

Contact information

Practice address
120 PARK LN, SUITE A-101, NEW MILFORD, CT 06776-2428
(860) 355-8190
(860) 355-3856
Mailing address
47 PUTNAM RD, NEW MILFORD, CT 06776-5332
(860) 355-3790
(860) 355-3856

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029133
CT

Other

Enumeration date
07/01/2005
Last updated
01/03/2017
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