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Jerome Provenzano, MD
NPI 1891760039 · on the registry since 2006
Practice
- Address
- 12655 Warwick Blvd
Newport News, VA 23606 - Phone
- (757) 595-9880
- Fax
- (757) 595-0362
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-07
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 Virginia