Evan Paul Provisor, MD
Evan Paul Provisor, MD is a Surgery Physician in Southbridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.
- Licensed in
- MA
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
94 S StSouthbridge, MA 01550-4000
Phone: (508) 764-6966
Fax: (508) 764-2457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 237945 (MA) |
|---|
Record details
| NPI number | 1366427429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 13, 2005 |
| Last updated in NPPES | December 21, 2011 |
Other providers in Southbridge
-
Konstantino A Avradopoulos, MD
94 S St, Southbridge, MA 01550-4000 · (508) 764-6966
-
Dr. Harry Watkey Easterly III, MD
94 S St, Southbridge, MA 01550-4000 · (508) 764-6966
-
Stephen T Hilborn, MD
94 S St Harrington Physician Services, Southbridge, MA 01550-4000 · (508) 764-2772
-
Thomas W Johnson, MD
100 S St Ste 108, Southbridge, MA 01550-4051 · (508) 764-6966
-
Warren William Rose, MD
100 S St Ste 108, Southbridge, MA 01550-4051 · (508) 764-6966