Individual provider · Type 1 NPI

Noelle Provenzano

Internal Medicine Physician · Philadelphia, PA

NPI number 1467078980 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-8520 Map

Other practice locations

  • 1530 S Olive St, Los Angeles, CA 90015-3023 · (213) 747-5542

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XOT020268 (PA)
Internal Medicine Physician 207R00000X20A24308 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1467078980

Noelle Provenzano's National Provider Identifier is 1467078980, issued on Jun 20, 2020. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 9, 2025.