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Contact Information

EVAN SHRECK, MD
455 LEWIS AVE STE 210
MERIDEN, CT06451-2121
 Phone: 203-238-1241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EVAN SHRECK · (Male)

NPI Number 1912360231
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2016
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 67053
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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