Individual
THOMAS G EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8230
(508) 334-3428
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
199152
NY
207RI0200X
Infectious Disease Physician
Primary
226370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110042050A
—
MA
Enumeration date
05/02/2006
Last updated
07/03/2023
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