Evan W Harris (NPI# 1255340865, PAC ID# 4981888567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1255340865 |
| PAC ID by PECOS | 4981888567 |
| Professional Enrollment ID | I20170508000216 |
| Full Name | Evan W Harris |
| Organization Legal Name | CENTER FOR VEIN RESTORATION CT LLC |
| Address |
136 Berlin Rd Suite 202 Cromwell CT 06416-2622 |
| Phone Number | 8558308346 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8820232713 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 | 8558308346 | CENTER FOR VEIN RESTORATION CT LLC |
| Organization Legal Name | CENTER FOR VEIN RESTORATION CT LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Alosco | General Surgery | Center for Vein Restoration Ct LLC | 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 |
| Fernando F Illescas | Diagnostic Radiology | Center for Vein Restoration Ct LLC | 113 Elm St, Suite 301, Enfield, CT 06082-3739 |
| Street Address |
136 BERLIN RD SUITE 202 |
| City | CROMWELL |
| State | CT |
| Zip | 06416-2622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Nankin | Physician Assistant | Connecticut Urgent Care Centers LLC | 136 Berlin Rd, Cromwell, CT 06416-2627 |
| Michael D Devanney | Physician Assistant | Connecticut Urgent Care Centers LLC | 136 Berlin Rd, Cromwell, CT 06416-2627 |
| Thomas R Alosco | General Surgery | Center for Vein Restoration Ct LLC | 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 |
| Phoebe C. Romero | Physician Assistant | Connecticut Urgent Care Centers LLC | 136 Berlin Rd, Cromwell, CT 06416-2627 |
| Brian A Karwaski | Physician Assistant | Connecticut Urgent Care Centers LLC | 136 Berlin Rd, Cromwell, CT 06416-2627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Jay Nason | Optometry | 161 Berlin Rd, Cromwell, CT 06416-1021 | |
| Lauren M Strawn | Optometry | 4d Optometry LLC | 181 Shunpike Rd B, Cromwell, CT 06416-1143 |
| Juanita D Collier | Optometry | 4d Optometry LLC | 181 Shunpike Rd B, Cromwell, CT 06416-1143 |
| Amy Chen | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Justin J Finch | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Hanspaul Makkar | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Bruce E Strober | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| James D Whalen | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Mona Shahriari | Dermatology | Central Connecticut Dermatology Pllc | 1 Willowbrook Rd, Suite 2, Cromwell, CT 06416-1745 |
| Alane Villar | Clinical Social Worker | 1 Willowbrook Rd, Suite 6, Cromwell, CT 06416-1745 | |
| Find all physicians in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | CROMWELL + INTERVENTIONAL RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.