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
Phone: (781) 522-9000
Fax: (781) 522-9095
Website:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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