JENNIFER M PROVATARIS

GREENWICH, CT
NPI1588685234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CT  043068)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
-- JENNIFER M PROVATARIS M.D.
5 PERRYRIDGE RD EMERGENCY DEPARTMENT
GREENWICH, CT 06830-4608
Phone number: 203-863-3637
Mailing Address
-- JENNIFER M PROVATARIS M.D.
5 PERRYRIDGE RD EMERGENCY DEPARTMENT
GREENWICH, CT 06830-4608
Phone number: 203-863-3637
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