Provider Information for 1669990875
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MARGARET EVANS Ph.D.
Other Names:Other Name:MAGGIE EVANS Ph.D.Sex: Female
NPI: 1669990875
Last Updated: 2022-11-07
Certification Date:
Certification Date:
Details
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NPI | 1669990875 | ||||||||||||||||
Enumeration Date | 2017-09-07 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: 860-679-6700 | Fax:860-679-6736 | ||||||||||||||||
Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-6700 | Fax:860-679-6736 | ||||||||||||||||
Secondary Practice Address(es) | 31 MECHANIC ST 31 MECHANIC ST | ||||||||||||||||
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