Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25MN08383500 | NJ |
Y | 207RC0000X | Internist - Cardiovascular Disease | OS014208 | PA |
N | 207RI0011X | Interventional Cardiology | OS014208 | PA |
NPI | 1083876940 |
---|---|
Provider Name | Matthew Evans |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Lancaster, PA 17601-6310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 12/12/2020 |