Individual
JEREMY SCOTT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
950 CAMPELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
15 DIXON ST APT 2, WESTERLY, RI 02891-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11013
CT
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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