Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Balmuth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700645314

Evan Balmuth is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PENDING (MA)

Record details

NPI number1700645314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address55 Fruit St, Boston, MA 02114-2621

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