Evangelista, Peter Thomas

Evangelista, Peter Thomas is an individual health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Evangelista, Peter Thomas can be contacted via phone (401) 432-2520.

Contact Information

Primary practice address
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1785
Phone: (401) 432-2520
Fax: (401) 453-8220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD11408 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 217024 Massachusetts

Profile Details

NPI number 1508854472
LBN Legal business name Evangelista, Peter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Apr 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508854472 NPPES
Other 003124047 CT MED ASSISTANCE
Other 2465834 CT MED ASSISTANCE
Other 9356928 CT MED ASSISTANCE
Other 2081920 CT MED ASSISTANCE
Other 3707988 CT MED ASSISTANCE
Other AA16956 CT MED ASSISTANCE
Other P00120864 CT MED ASSISTANCE
Other 411628 CT MED ASSISTANCE
Other 9003434 CT MED ASSISTANCE

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