Individual
EVELYN QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
574 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 696-2250
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
325881
NY
207Q00000X
Family Medicine Physician
Primary
79107
CT
Other
Enumeration date
06/04/2019
Last updated
10/31/2024
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