EVAN FOX MD LLC NPI 1457699712

NPI Information

NPI: 1457699712
Provider Name: EVAN FOX MD, LLC
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
300 HEBRON AVE
SUITE 107
GLASTONBURY, CT
ZIP 06033
Phone: (860) 430-1150
Get Directions

EVAN FOX MD, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Glastonbury, CT. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. EVAN FOX MD, LLC NPI is 1457699712. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 HEBRON AVE
SUITE 107
GLASTONBURY, CT
ZIP 06033-176
Phone: (860) 430-1150
Fax: (860) 430-1093

The provider's authorized official is Evan Fox .
The authorized official title is Owner and has the following contact phone number (860) 430-1150.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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