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1235971441
ALEXIS MICHAEL EVANGELISTA
ELIZABETH, NJ
NPI
1235971441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
Dr. ALEXIS MICHAEL EVANGELISTA MD
225 WILLIAMSON ST
ELIZABETH, NJ 07202-3625
Phone number: 908-994-5000
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Mailing Address
Dr. ALEXIS MICHAEL EVANGELISTA MD
225 WILLIAMSON ST
ELIZABETH, NJ 07202-3625
Phone number:
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