Individual
MR. C. DOUGLAS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
669 MAIN ST, WAKEFIELD, MA 01880-5200
(781) 245-5200
(781) 246-3932
Mailing address
669 MAIN ST, WAKEFIELD, MA 01880-5200
(781) 245-5200
(781) 246-3932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
77262
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3112870
—
MA
Enumeration date
05/15/2006
Last updated
08/08/2019
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