DR. Jay A Provenzano, D.C.
NPI #1114095304 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1114095304
- Entity Type
- Individual
- Name
- DR. Jay A Provenzano, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Jun 9, 2010
Practice Location
- Address
- 25 SCHOOL ST
- Address 2
- SUITE B-2
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02169-6607
- Phone
- (617) 689-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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