NOELLE PROVENZANO

PHILADELPHIA, PA
NPI1467078980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  OT020268)
Enumeration Date2020-06-20
Last Update Date2020-06-20
Business Address
Dr. NOELLE PROVENZANO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-8520
Mailing Address
Dr. NOELLE PROVENZANO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number:
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