Individual
OSVALDO JOSE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 PLEASANT ST, CONCORD, NH 03301-4006
(603) 228-1551
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15749
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002659801
MEDICARE
NH
Enumeration date
03/15/2006
Last updated
01/16/2015
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