Individual
CARRIE MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 914-6180
(609) 914-6182
Mailing address
401 ROUTE 73 N, 40 LAKE CENTER DR., SUITE 201A, MARLTON, NJ 08053-3425
(856) 355-0340
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08934600
NJ
207R00000X
Internal Medicine Physician
OS014186
PA
Other
Enumeration date
03/03/2009
Last updated
06/21/2011
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