Peter Evola, P.A.
Physician Assistant, Medical in Torrington, CT. Individual provider (NPI-1).
NPI number1104868942
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1104868942
- Entity type
- Individual (NPI-1)
- Name
- Peter Evola
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 6417 | CT | Yes |
| 363AM0700X | Physician Assistant, Medical | 006882 | NY |
Practice location
996 E Main StTorrington, CT 06790-3909
Phone 860-866-5809
Mailing address
6865 Windcrest DrPlano, TX 75024-3086
Phone 866-990-0599
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Other Medical Physician Assistant providers in Torrington, CT
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All 7 Medical Physician Assistant providers in Torrington · All 1,074 providers in Torrington
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