Active NPIIndividual provider

Jennifer M Provataris, MD

Emergency Medicine in Greenwich, Connecticut

NPI Number1588685234
Practice location
5 Perryridge RD, Emergency Department, Greenwich, CT 06830-4608
Fax
203-863-3821
Last updated
July 8, 2007

Jennifer M Provataris is an Emergency Medicine based in Greenwich, CT. Jennifer M Provataris practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Jennifer M Provataris is 1588685234 and holds a License No. 043068 (CT). The current practice location address for Jennifer M Provataris is 5 Perryridge RD, Emergency Department, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3637 and via fax at 203-863-3821.

Provider Profile Details

NPI Number
1588685234
Provider Name
Jennifer M Provataris
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 Perryridge RD, Emergency Department, Greenwich, CT 06830-4608
Phone Number
203-863-3637
Fax Number
203-863-3821
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Emergency Department
Greenwich, CT 06830-4608
Zip
06830-4608
Phone Number
203-863-3637
Fax Number
203-863-3821
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
5 Perryridge RD
Emergency Department
Greenwich, CT 06830-4608
City
Greenwich
State
CT
Zip
06830-4608
Phone Number
203-863-3637
Fax Number
203-863-3821

License Information

License Number
043068
License State
CT
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer M Provataris, MD?

The NPI number of Jennifer M Provataris, MD is 1588685234. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Provataris, MD?

Jennifer M Provataris, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 043068.

Where does Jennifer M Provataris, MD practice?

The practice location is 5 Perryridge RD, Emergency Department, Greenwich, CT 06830-4608. The office can be reached at 203-863-3637 (phone) or 203-863-3821 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588685234 directly on the NPPES registry website.

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