Dr. David Provenzano, MD
Pain Medicine, Interventional Pain Medicine in Sewickley, PA. Individual provider (NPI-1).
NPI number1790796233
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1790796233
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Provenzano
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | MD429974 | PA | Yes |
| 207L00000X | Anesthesiology | 12812 | NH | |
| 207LP2900X | Anesthesiology, Pain Medicine | 12812 | NH |
Practice location
301 Ohio River Blvd Ste 203Sewickley, PA 15143-1300
Phone 412-221-7640 · Fax 412-490-9850
Mailing address
301 Ohio River Blvd Ste 203Sewickley, PA 15143-1300
Phone 412-221-7640 · Fax 412-490-9850
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