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Evan Paul Provisor, MD
Surgery Physician in Southbridge, Massachusetts
NPI 1366427429

Evan Paul Provisor is a Surgery Physician based in Southbridge, MA. Evan Paul Provisor practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Evan Paul Provisor is 1366427429 and holds a License No. 237945 (Massachusetts).

The current practice location address for Evan Paul Provisor is 94 South St, Southbridge, MA and can be reached out via phone at 508-764-6966 and via fax at 508-764-2457.

Location: 94 South St, Southbridge, MA, 01550-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366427429
Provider Name
Evan Paul Provisor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
94 South St, Southbridge, MA, 01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2160307 05 MA
institution
Provider Business Practice Location Address Details
Address
94 South St
City
Southbridge
State
Massachusetts
Zip
01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457
person
Provider Business Mailing Address Details
Address
94 South St
City
Southbridge
State
Massachusetts
Zip
01550-4000
Phone Number
508-764-6966
Fax Number
508-764-2457
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
237945 (Massachusetts)
Definition
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 increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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