Madill, Evan Samuel

Madill, Evan Samuel is an individual health care provider with primary practice located at 60 Fenwood Rd. , Boston MA 02115. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Madill, Evan Samuel can be contacted via phone (617) 525-6550.

Contact Information

Primary practice address
60 Fenwood Rd. Boston MA 02115
Phone: (617) 525-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 1014382 Massachusetts

Profile Details

NPI number 1255891685
LBN Legal business name Madill, Evan Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2019
Last updated Jun 25th, 2023 - about 3 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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