MICHAEL EVANGELIST

WEST ORANGE, NJ
NPI1780735316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01129500)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- MICHAEL EVANGELIST MSPT
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
Mailing Address
-- MICHAEL EVANGELIST MSPT
715 CLINTON ST APT 17
HOBOKEN, NJ 07030-2841
Phone number: 973-669-0078
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