Individual
EVAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HEBRON AVE, SUITE 107, GLASTONBURY, CT 06033
(860) 430-1150
(860) 430-1093
Mailing address
300 HEBRON AVE, SUITE 107, GLASTONBURY, CT 06033
(860) 430-1150
(860) 430-1093
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
031192
CT
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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