Individual
EDWARD EVANCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
25 5TH AVE, HASKELL, NJ 07420-1075
(973) 839-6000
Mailing address
22 PINE LN, WEST MILFORD, NJ 07480-2351
(973) 728-9539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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