Jay Provenzano, D.C

NPI 1114095304 · on the registry since 2006 · sole proprietor

Practice

Address: 25 School St
Suite B-2
Quincy, MA 02169
Phone: (617) 689-0440
Fax: (617) 689-0420
Organisation at this address: J & M Pro P.C.
South Shore Injury Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Chiropractor
111N00000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts