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Organization

CLEOFE P EVANGELISTA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLEOFE P EVANGELISTA M.D. (PHYSICIAN)
(215) 321-0580
Entity
Organization

Contact information

Practice address
301 OXFORD VALLEY RD, SUITE 403A, YARDLEY, PA 19067-7706
(215) 321-0580
(215) 321-9098
Mailing address
301 OXFORD VALLEY RD, SUITE 403A, YARDLEY, PA 19067-7706
(215) 321-0580
(215) 321-9098

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MD030470E
PA
207R00000X
Internal Medicine Physician
Primary
MD034070E
PA

Other

Enumeration date
08/28/2007
Last updated
04/20/2010
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