Basic Information
| Provider Information | |||||||||
| NPI: | 1871539353 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ENGLISH | ||||||||
| FirstName: | EVAN | ||||||||
| MiddleName: | ALLEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 42934 | ||||||||
| Address2: | CHARLES EMERGENCY SERVICES | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191012934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003553818 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6701 N CHARLES ST | ||||||||
| Address2: | GREATER BALTIMORE MEDICAL CENTER | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212046808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4438496762 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 11/13/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D007177 | MD | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.