Individual
PASQUALE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 2ND AVE., DEPARTMENT OF RADIOLOGY, LONG BRANCH, NJ 07740
(732) 923-6806
(732) 923-6800
Mailing address
300 2ND AVE., DEPARTMENT OF RADIOLOGY, LONG BRANCH, NJ 07740
(732) 923-6806
(732) 923-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
NONE
NJ
2085R0204X
Vascular & Interventional Radiology Physician
NONE
NJ
390200000X
Student in an Organized Health Care Education/Training Program
NONE YET
OH
Other
Enumeration date
11/08/2012
Last updated
03/27/2013
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