Individual
EVAN CHUGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1705 BROADWAY, SUITE 5, HEWLETT, NY 11557-1600
(516) 593-0000
(516) 593-0052
Mailing address
1705 BROADWAY, SUITE 5, HEWLETT, NY 11557-1600
(516) 593-0000
(516) 593-0052
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
052122-1
PA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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