Michael J Evans in Suffern - Surgical

Michael J Evans - NPI 1104871284

Michael J Evans is a Surgical in Suffern, New York. Michael J Evans practices all healthcare services and medical treatments related to Surgical. The NPI Number for Michael J Evans is 1104871284. The last update date is 2012-03-16.

Michael J Evans's current location address is 255 Lafayette Ave, Suffern, New York. You can contact this provider via phone number 8453688800 and fax number 8453685608. The mailing address for Michael J Evans is 255 Lafayette Ave, Suffern, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Evans
Address 255 Lafayette Ave, Suffern, New York
Phone Number 8453688800
Fax Number 8453685608
Sole Proprietor Y
Credentials P.A.

NPI Number Detail

NPI Number 1104871284
Provider Enumeration Date 2006-05-24
Last Updated Date 2012-03-16

Provider Mailing Address Detail

Address 255 Lafayette Ave
City Suffern
State New York (NY)
Post Code 109014812
Phone Number 8453688800
Fax Number 8453685608

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 000533-1
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Michael J Evans

What is the Michael J Evans's 1104871284?

The Michael J Evans's NPI (National Provider Identifier) Number is 1104871284. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Michael J Evans is geographically located?

The Michael J Evans is physically situated at the following location: 255 Lafayette Ave, Suffern, NY, 109014812.

What is the Michael J Evans's area of specialization and corresponding taxonomy classification?

The Michael J Evans's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date did the Michael J Evans receive the assignment of its 1104871284 from the Centers for Medicare & Medicaid Services?

The Michael J Evans was issued its 1104871284 by the Centers for Medicare & Medicaid Services on 2006-05-24.

As of what date were the details related to Michael J Evans most recently updated or revised?

The information pertaining to Michael J Evans, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-16.

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