IndividualActive
Evan Davis, ATC
NPI 1164094942 · Sports Medicine (Emergency Medicine) Physician · Newington, CT
Provider details
- NPI number
- 1164094942
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000721 (CT)
Mailing address
156 Roseleah Ave
Newington, CT 06111-2055
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.