Individual
DR. EVELYN M. ACQUAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11126 CARRINGTON GREEN DR, GLEN ALLEN, VA 23060-3446
(804) 754-6872
Mailing address
11126 CARRINGTON GREEN DR, GLEN ALLEN, VA 23060-3446
(845) 853-5082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101242724
VA
207L00000X
Anesthesiology Physician
242259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02525973
—
NY
05
—
1043365299
—
VA
05
—
1548443153
—
VA
05
—
1558354969
—
VA
Enumeration date
08/31/2005
Last updated
08/06/2014
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