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Contact Information

C DOUGLAS EVANS, MD
669 MAIN ST
WAKEFIELD, MA01880-5200
 Phone: 781-245-5200
 Fax: 781-246-3932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for C DOUGLAS EVANS · (Male)

NPI Number 1982655643
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 08/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 77262
  • MA Medicaid 3112870
Hospital affiliation(s)
  • HALLMARK HEALTH SYSTEM - (Acute Care)
    585 LEBANON STREET
    MELROSE, MA 02176
  • WINCHESTER HOSPITAL - (Acute Care)
    41 HIGHLAND AVENUE
    WINCHESTER, MA 01890
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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