Individual
DR. EVELYN R WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1945 CORLIES AVE, NEPTUNE, NJ 07753-4859
(732) 776-4203
Mailing address
17 CLYDESDALE CT, TINTON FALLS, NJ 07701-4902
(732) 241-1805
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07405300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8895708
—
NJ
Enumeration date
05/30/2006
Last updated
12/19/2021
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