Individual
BARRY J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(215) 430-4022
(215) 430-4079
Mailing address
SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA, LOCKBOX #7642 - PO BOX 8500, PHILADELPHIA, PA 19178-0001
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD037391L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019238260001
—
PA
Enumeration date
10/13/2005
Last updated
07/21/2010
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