EVAN PROVISOR, MD

MD

Surgery Physician

NPI: 1366427429Individual

Specialties, Licenses & Credentials

Surgery PhysicianPrimary

Surgery

Code: 208600000X

237945(MA)

Contact & Hours

Address: 94 SOUTH ST
SOUTHBRIDGE, MA 01550
Phone: (508) 764-6966

Quick Facts

NPI: 1366427429
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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