Individual
RICHARD J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 ALBANY ST, BOSTON, MA 02118-2518
(617) 267-6767
Mailing address
114 SIMONDS ST, FITCHBURG, MA 01420-2465
(617) 267-6767
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
58622
MA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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