Organization
EVAN FOX MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN FOX M.D. (OWNER)
(860) 430-1150
Entity
Organization
Contact information
Practice address
300 HEBRON AVE, SUITE 107, GLASTONBURY, CT 06033-2176
(860) 430-1150
(860) 430-1093
Mailing address
300 HEBRON AVE, SUITE 107, GLASTONBURY, CT 06033-2176
(860) 430-1150
(860) 430-1093
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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