Individual provider · Type 1 NPI

Jay A. Provenzano, DC

Chiropractor · Quincy, MA

NPI number 1114095304 Active

Practice location

25 School St, Suite B-2
Quincy, MA 02169-6607

Call (617) 689-0440 Map

Fax (617) 689-0420

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2886 (MA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1114095304

Jay A. Provenzano, DC's National Provider Identifier is 1114095304, issued on Dec 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Quincy, MA. The record was last updated on Jun 9, 2010.