Organization
EVOLVD HEALTH
Active
Organization
EVOLVD HEALTH
Active
Other names
Evolvd Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADY HENIEN MD (CHIEF MEDICAL OFFICER)
(610) 442-6552
Entity
Organization
Contact information
Practice address
85 BRAINERD RD APT 108, BOSTON, MA 02134-4529
(610) 442-6552
Mailing address
85 BRAINERD RD APT 108, BOSTON, MA 02134-4529
(610) 442-6552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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