Active NPIIndividual provider

Dr. Evan R Hack, MEDICAL DOCTOR

Pediatrics in New Milford, Connecticut

NPI Number1184621435
Practice location
120 Park Ln, Suite A-101, New Milford, CT 06776-2428
Fax
860-355-3856
Last updated
January 3, 2017

Evan R Hack is a Pediatrics based in New Milford, CT. Evan R Hack practices in New Milford, CT and has the professional credentials of MEDICAL DOCTOR. The NPI Number for Evan R Hack is 1184621435 and holds a License No. 029133 (CT). The current practice location address for Evan R Hack is 120 Park Ln, Suite A-101, New Milford, CT 06776-2428 and can be reached out via phone at 860-355-8190 and via fax at 860-355-3856.

Provider Profile Details

NPI Number
1184621435
Provider Name
Evan R Hack
Credential
MEDICAL DOCTOR
Provider Entity Type
Individual
Gender
Male
Address
120 Park Ln, Suite A-101, New Milford, CT 06776-2428
Phone Number
860-355-8190
Fax Number
860-355-3856
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2005
Last Update Date
January 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Park Ln
Suite A-101
New Milford, CT 06776-2428
Zip
06776-2428
Phone Number
860-355-8190
Fax Number
860-355-3856
New Milford, CT 06776Get directions →

Provider Business Mailing Address Details

Address
47 Putnam RD
New Milford, CT 06776-5332
City
New Milford
State
CT
Zip
06776-5332
Phone Number
860-355-3790
Fax Number
860-355-3856

License Information

License Number
029133
License State
CT
Taxonomy
Pediatrics · 208000000X · 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 Dr. Evan R Hack, MEDICAL DOCTOR?

The NPI number of Dr. Evan R Hack, MEDICAL DOCTOR is 1184621435. It was assigned on July 1, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Evan R Hack, MEDICAL DOCTOR?

Dr. Evan R Hack, MEDICAL DOCTOR is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 029133.

Where does Dr. Evan R Hack, MEDICAL DOCTOR practice?

The practice location is 120 Park Ln, Suite A-101, New Milford, CT 06776-2428. The office can be reached at 860-355-8190 (phone) or 860-355-3856 (fax).

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 1184621435 directly on the NPPES registry website.

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