Healthcare Provider Details

I. General information

NPI: 1750558474
Provider Name (Legal Business Name): EVAN LLEWELLYN GUTHRIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 LONG POND DR
HARWICH MA
02645-1227
US

IV. Provider business mailing address

525 LONG POND DR
HARWICH MA
02645-1227
US

V. Phone/Fax

Practice location:
  • Phone: 508-430-3322
  • Fax: 508-430-3387
Mailing address:
  • Phone: 508-430-3322
  • Fax: 508-430-3387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD445429
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1022303
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: