Individual
DR. EVAN ANDREW SODERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 422-2305
Mailing address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 422-2305
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
238963
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022522
—
OR
Enumeration date
02/14/2006
Last updated
04/09/2014
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