Individual provider · Type 1 NPI

Evan Paul Provisor, MD

Surgery Physician · Southbridge, MA

NPI number 1366427429 Active

Practice location

94 South St
Southbridge, MA 01550-4000

Call (508) 764-6966 Map

Fax (508) 764-2457

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X237945 (MA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1366427429

Evan Paul Provisor, MD's National Provider Identifier is 1366427429, issued on Dec 13, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Southbridge, MA. The record was last updated on Dec 21, 2011.