Individual
DR. KARLEYTON C EVANS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 812, BOSTON, MA 02114-3117
(617) 724-0244
(617) 726-4078
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
218848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044391
—
MA
01
—
419227
TUFTS HEALTH PLAN
MA
01
—
J27393
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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