NPI 1003807850

Northeast Medical Associates, PC

Organisation Family Medicine Physician Fort Wayne, IN

Practice location

Address: 1234 E. Dupont Rd. Suite 6, Fort Wayne, IN 46825-1545
Phone: (260) 480-2600
Fax: (260) 496-8077

Authorised official

Name: Karen Sue Evans
Title: Physician
Phone: (260) 480-2600

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 50004246A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1003807850
Entity type: Organization
NPI issued: 1 Nov 2005
Record last updated: 9 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.