Individual
MR. ROGER ANTHONY EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 OLD ROLLINSFORD RD, SUITE 3, DOVER, NH 03820-2833
(603) 742-5011
(603) 742-3530
Mailing address
15 LAUREL LN, DURHAM, NH 03824-3131
(603) 868-2451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5938
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104451Y0NH01
BC/BS
NH
01
—
0444703
CIGNA
NH
01
—
34445100
MARTINS POINT
NH
01
—
4481234
AETNA
NH
05
—
80001213
—
NH
01
—
D03651
HARVARD PILGRIM
NH
Enumeration date
04/14/2006
Last updated
07/08/2007
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