GINA PROVENZANO

PHILADELPHIA, PA
NPI1841784030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: PA  MD481359)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-20
Last Update Date2023-06-11
Business Address
GINA PROVENZANO MD
925 CHESTNUT ST
PHILADELPHIA, PA 19107-4216
Phone number: 267-297-2440
Mailing Address
GINA PROVENZANO MD
925 CHESTNUT ST
PHILADELPHIA, PA 19107-4216
Phone number: 267-297-2440