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Mr. Evan Shreck, MD
Urology Physician in Meriden, Connecticut
NPI 1912360231

Evan Shreck is a Urology Physician based in Meriden, CT. Evan Shreck practices in Meriden, CT and has the professional credentials of MD. The NPI Number for Evan Shreck is 1912360231 and holds a License No. (Connecticut).

The current practice location address for Evan Shreck is 455 Lewis Ave Ste 210, Meriden, CT and can be reached out via phone at 203-238-1241.

Location: 455 Lewis Ave Ste 210, Meriden, CT, 06451-2121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912360231
Provider Name
Evan Shreck
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
455 Lewis Ave Ste 210, Meriden, CT, 06451-2121
Phone Number
203-238-1241
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 Lewis Ave Ste 210
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-238-1241
Fax Number
person
Provider Business Mailing Address Details
Address
455 Lewis Ave Ste 210
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-238-1241
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
67053 (Connecticut)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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