AUDREY M PROVENZANO

BOSTON, MA
NPI1326368275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  253623)
Enumeration Date2010-06-02
Last Update Date2023-10-06
Business Address
Dr. AUDREY M PROVENZANO MD
801 MASSACHUSETTS AVE, STE 5B CROSSTOWN BLDG
BOSTON, MA 02118
Phone number: 617-414-5951
Mailing Address
Dr. AUDREY M PROVENZANO MD
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 02118-2690
Phone number: