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1982791679
MARK ANTHONY PROVENZANO
BUTLER, PA
NPI
1982791679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: PA 049161L)
Enumeration Date
2006-10-06
Last Update Date
2024-09-03
Business Address
Mr. MARK ANTHONY PROVENZANO MD
389 NEW CASTLE RD
BUTLER, PA 16001-1743
Phone number: 724-282-2216
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Mailing Address
Mr. MARK ANTHONY PROVENZANO MD
PO BOX 1549
BUTLER, PA 16003-1549
Phone number: 724-284-5670
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