Provider Demographics
NPI:1023591120
Name:CURRY, EVAN (PA-C)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:
Last Name:CURRY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1646
Mailing Address - Country:US
Mailing Address - Phone:201-696-2138
Mailing Address - Fax:
Practice Address - Street 1:338 CHIMNEY ROCK RD UNIT A140
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1286
Practice Address - Country:US
Practice Address - Phone:848-202-8494
Practice Address - Fax:848-202-8399
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00488200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine