Search › Massachusetts › 225100000X
Michael Provenzano, D.C.,D.P.T
NPI 1225157423 · on the registry since 2007
Practice
- Address
- 16 Haverhill St
Andover, MA 01810 - Phone
- (978) 470-1499
- Fax
- (978) 470-1408
- Organisation at this address
- Campromo Partners Llc
Andover Family Dental
Essex Physical Therapy
Bagnall Family Dentistry, Llc
Goyette Chiropractic Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 111N00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-17
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