Evolvd Health | |
85 Brainerd Rd Apt 108 Boston MA 02134-4529 | |
(610) 442-6552 | |
Not Available |
Full Name | Evolvd Health |
---|---|
Speciality | Internal Medicine |
Location | 85 Brainerd Rd Apt 108, Boston, Massachusetts |
Authorized Official Name and Position | Shady Henien (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6104426552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evolvd Health 85 Brainerd Rd Apt 108 Boston MA 02134-4529 Ph: (610) 442-6552 | Evolvd Health 85 Brainerd Rd Apt 108 Boston MA 02134-4529 Ph: (610) 442-6552 |
NPI Number | 1487291100 |
---|---|
Provider Enumeration Date | 12/01/2019 |
Last Update Date | 12/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487291100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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