Active NPIIndividual providerSole proprietor

Liudmila Evdokimova

Physician Assistant in Hamilton, New Jersey

NPI Number1053943282
Practice location
3836 Quakerbridge RD Ste 206, Hamilton, NJ 08619-1006
Fax
—
Last updated
February 5, 2020

Liudmila Evdokimova is a Physician Assistant based in Hamilton, NJ. Liudmila Evdokimova practices in Hamilton, NJ. The NPI Number for Liudmila Evdokimova is 1053943282 and holds a License No. 25MP00557300 (NJ). The current practice location address for Liudmila Evdokimova is 3836 Quakerbridge RD Ste 206, Hamilton, NJ 08619-1006 and can be reached out via phone at 609-246-3864.

Provider Profile Details

NPI Number
1053943282
Provider Name
Liudmila Evdokimova
Provider Entity Type
Individual
Gender
Female
Address
3836 Quakerbridge RD Ste 206, Hamilton, NJ 08619-1006
Phone Number
609-246-3864
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2020
Last Update Date
February 5, 2020
Certification Date
February 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3836 Quakerbridge RD Ste 206
Hamilton, NJ 08619-1006
Zip
08619-1006
Phone Number
609-246-3864
Hamilton, NJ 08619Get directions →

Provider Business Mailing Address Details

Address
3836 Quakerbridge RD Ste 206
Hamilton, NJ 08619-1006
City
Hamilton
State
NJ
Zip
08619-1006
Phone Number
609-246-3864

License Information

License Number
25MP00557300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Liudmila Evdokimova?

The NPI number of Liudmila Evdokimova is 1053943282. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Liudmila Evdokimova?

Liudmila Evdokimova is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00557300.

Where does Liudmila Evdokimova practice?

The practice location is 3836 Quakerbridge RD Ste 206, Hamilton, NJ 08619-1006. The office can be reached at 609-246-3864 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053943282 directly on the NPPES registry website.

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