Evans, Barry J

Evans, Barry J is an individual health care provider with primary practice located at 3551 N Broad St , Philadelphia PA 19140-4160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Evans, Barry J can be contacted via phone (215) 430-4022.

Contact Information

Primary practice address
3551 N Broad St Philadelphia PA 19140-4160
Phone: (215) 430-4022
Fax: (215) 430-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD037391L Pennsylvania

Profile Details

NPI number 1386632297
LBN Legal business name Evans, Barry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 21st, 2010 - about 14 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 1386632297 NPPES
Pennsylvania MEDICAID 0019238260001

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