Individual
DR. NATHANIEL RUTHERFORD EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-6996
(215) 923-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
231078
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD438594
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222682
—
NJ
05
—
102426904
—
PA
Enumeration date
01/25/2007
Last updated
06/12/2020
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