Individual
JANINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING 3RD FL, NEW HAVEN, CT 06519-1304
(203) 737-5430
(203) 785-7053
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
029422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001294222
—
CT
Enumeration date
11/14/2005
Last updated
03/21/2012
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