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Contact Information

EVAN W HARRIS, MD
622 HEBRON AVENUE
SUITE 103
GLASTONBURY, CT06033
 Phone: 727-452-8777
 Fax:
 Website: https://www.centerforvein.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for EVAN W HARRIS · (Male)

NPI # 1255340865
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 04/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 53739
  • FL License # ME65745
  • VA License # 0101257553
Hospital affiliation(s) Not Available
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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