Active NPIIndividual provider

Evan Tilley, MD

Anesthesiology in Bridgeport, Connecticut

NPI Number1194878868
Practice location
267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805
Fax
—
Last updated
October 27, 2009

Evan Tilley is an Anesthesiology based in Bridgeport, CT. Evan Tilley practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Evan Tilley is 1194878868 and holds a License No. 021012 (CT). The current practice location address for Evan Tilley is 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-3072.

Provider Profile Details

NPI Number
1194878868
Provider Name
Evan Tilley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805
Phone Number
203-384-3072
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
January 18, 2007
Last Update Date
October 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport Anesthesia Associates, PC
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-384-3072
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
7365 Main St
Ste 310
Stratford, CT 06614-1300
City
Stratford
State
CT
Zip
06614-1300
Phone Number
203-384-3174

License Information

License Number
021012
License State
CT
Taxonomy
Anesthesiology · 207L00000X · 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 Evan Tilley, MD?

The NPI number of Evan Tilley, MD is 1194878868. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Evan Tilley, MD?

Evan Tilley, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CT under license number 021012.

Where does Evan Tilley, MD practice?

The practice location is 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805. The office can be reached at 203-384-3072 (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 1194878868 directly on the NPPES registry website.

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