Individual
QUIRICO EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
Mailing address
9 INDUSTRIAL RD STE 5, MILFORD, MA 01757-3736
(508) 473-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275507
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
275507
MA
Other
Enumeration date
08/19/2015
Last updated
08/16/2022
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