Doctor Name: | AMY M EVANGELISTO |
NPI Number: | 1023119195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MA078001 |
Business Practice Address: | 2309 E Evesham Rd Suite 101 Voorhees, NJ - 080431559 |
Business Phone Number: | 8564245005 |
Business Fax Number: | |
Mailing Address: | 2309 E Evesham Rd, Suite 101 VOORHEES |
State: | NJ |
Postal Code: | 080431559 |
Phone Number: | 8564245005 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | MA078001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |