Evan P Provisor MD PC
NPI #1497732101 in Sharon, Connecticut
Provider Information
- NPI Number
- 1497732101
- Entity Type
- Organization
- Organization Name
- Evan P Provisor MD PC
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 23, 2005
- Last Updated
- Aug 10, 2007
Practice Location
- Address
- 29 HOSPITAL HILL RD
- Address 2
- SUITE 1600
- City
- Sharon
- State
- Connecticut
- ZIP Code
- 06069-2095
- Phone
- (860) 364-0226
Authorized Official
- Name
- EVAN PAUL PROVISOR, MD
- Title
- PRESIDENT
- Phone
- (860) 364-0226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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| Mustafa M Ugurlu, M.D. | |
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Organizations
| Provider Name | |
|---|---|
| Health Quest Medical Practice, PC |
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