Robert A Provencher DO

NPI 1669402152 - Family Medicine - 207Q00000X

NPI Details
NPI 1669402152
Gender Male
Enumeration Date 07/03/2006
Last Updated 06/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
296 KINGS HIGHWAY
CLARKSBORO NJ, 08020, US
Phone (856) 423-7000
Fax
Business Location
296 KINGS HIGHWAY
CLARKSBORO NJ, 08020, US
Phone (856) 423-7000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MB04853900
Remove 1669402152 NPI Number
 

According to our database, Robert A Provencher DO NPI is 1669402152, taxonomy code is 207Q00000X and license number is 25MB04853900, license state is located at New Jersey. Robert A Provencher DO physically located at 296 Kings Highway, Clarksboro NJ, 08020. NPI Number Robert A Provencher DO has the Individual type.

Sponsored links

1669402152 NPI number is provided on an as is basis without warranty of any kind. 1669402152 is maintained by the National Plan & Provider Enumeration System. The contents of Robert A Provencher DO are for informational purposes only.