Individual
DR. EVAN ALEXANDER O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT STREET, YAW3-3561, BOSTON, MA 02114
(617) 643-2401
Mailing address
55 FRUIT STREET, YAW3-3561, BOSTON, MA 02114
(617) 643-2401
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
281410
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
02/17/2019
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