Individual
FRANK EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 SHUTTLE RD, FARMINGTON, CT 06032-1900
(860) 679-3980
(860) 679-1257
Mailing address
11 SHUTTLE RD, FARMINGTON, CT 06032-1900
(860) 679-3980
(860) 679-1257
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
42830
CT
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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