Individual
DR. EVAN JACOB LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N BROADWAY ST, BALTIMORE, MD 21287-0031
(410) 955-8893
(410) 955-8587
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D67921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048474100
—
MD
Enumeration date
01/22/2007
Last updated
11/19/2020
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