MARGARET M PROVENCHER

PHILADELPHIA, PA
NPI1659831634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  MD475371)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-25
Last Update Date2023-03-07
Business Address
MARGARET M PROVENCHER MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4274
Phone number: 215-662-6305
Mailing Address
MARGARET M PROVENCHER MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2844