Individual
DR. JEFFREY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 MOUNT AUBURN ST, EMERGENCY DEPARTMENT, CAMBRIDGE, MA 02138-5502
(617) 499-5617
Mailing address
330 MOUNT AUBURN ST, EMERGENCY DEPARTMENT, CAMBRIDGE, MA 02138-5502
(617) 499-5617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
212480
MA
207P00000X
Emergency Medicine Physician
A91979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166260
—
MA
Enumeration date
08/31/2005
Last updated
09/15/2009
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