Individual
EVAN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
625 CLARK AVE # B, BRISTOL, CT 06010-4068
(860) 583-7700
Mailing address
19 BROWN ST UNIT 1, NEW HAVEN, CT 06511-5744
(361) 813-7539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5469
CT
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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