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Dr. Jay A Provenzano, DC
Chiropractor in Quincy, Massachusetts
NPI 1114095304

Jay A Provenzano is a Chiropractor based in Quincy, MA. Jay A Provenzano practices in Quincy, MA and has the professional credentials of DC. The NPI Number for Jay A Provenzano is 1114095304 and holds a License No. 2886 (Massachusetts).

The current practice location address for Jay A Provenzano is 25 School St, Quincy, MA and can be reached out via phone at 617-689-0440 and via fax at 617-689-0420. You can also correspond with Jay A Provenzano through the mailing address at 25 SCHOOL ST, QUINCY, MA - 02169-6607 (mailing address contact number: 617-689-0440).

Location: 25 School St, Quincy, MA, 02169-6607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114095304
Provider Name
Jay A Provenzano
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
25 School St, Quincy, MA, 02169-6607
Phone Number
617-689-0440
Fax Number
617-689-0420
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
25 School St
City
Quincy
State
Massachusetts
Zip
02169-6607
Phone Number
617-689-0440
Fax Number
617-689-0420
person
Provider Business Mailing Address Details
Address
25 School St
City
Quincy
State
Massachusetts
Zip
02169-6607
Phone Number
617-689-0440
Fax Number
617-689-0420
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2886 (Massachusetts)
Definition
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.
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