Search › Massachusetts › Surgery Physician
Evan Provisor, MD
NPI 1366427429 · on the registry since 2005
Practice
- Address
- 94 South St
Southbridge, MA 01550 - Phone
- (508) 764-6966
- Fax
- (508) 764-2457
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-21
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