| NPI | 1487291100 |
|---|---|
| Former Legal Business Name | EVOLVD HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHADY HENIEN Chief Medical Officer 610-442-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |