Mcevoy, Victoria R

Mcevoy, Victoria R is an individual health care provider with primary practice located at 40 Second Ave Ste 400 Mass General Medical Group Waltham, Waltham MA 02451. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcevoy, Victoria R can be contacted via phone (781) 522-9000.

Contact Information

Primary practice address
40 Second Ave Ste 400 Mass General Medical Group Waltham Waltham MA 02451
Fax: (781) 522-9095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42853 Massachusetts

Profile Details

NPI number 1568453181
LBN Legal business name Mcevoy, Victoria R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1568453181 NPPES
Massachusetts Other 735311 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2061643 TUFTS HEALTH PLAN
Massachusetts Other C07103 TUFTS HEALTH PLAN

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