| Doctor Name: | EVAN P CWASS |
| NPI Number: | 1407921687 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 2038 |
| Business Practice Address: | 264 N Main St Suite #11 East Longmeadow, MA - 010281815 |
| Business Phone Number: | 4135254373 |
| Business Fax Number: | 4135259098 |
| Mailing Address: | 264 N Main St, Suite #11 EAST LONGMEADOW |
| State: | MA |
| Postal Code: | 010281815 |
| Phone Number: | 4135254373 |
| Fax Number: | 4135259098 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 2038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |