Robert A Provencher, DO
Family Medicine in Clarksboro, New Jersey
1669402152- Practice location
- 296 Kings Highway, Clarksboro, NJ 08020
- Phone
- 856-423-7000
- Fax
- —
- Last updated
- June 28, 2010
Robert A Provencher is a Family Medicine based in Clarksboro, NJ. Robert A Provencher practices in Clarksboro, NJ and has the professional credentials of DO. The NPI Number for Robert A Provencher is 1669402152 and holds a License No. 25MB04853900 (NJ). The current practice location address for Robert A Provencher is 296 Kings Highway, Clarksboro, NJ 08020 and can be reached out via phone at 856-423-7000.
Provider Profile Details
- NPI Number
- 1669402152
- Provider Name
- Robert A Provencher
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 296 Kings Highway, Clarksboro, NJ 08020
- Phone Number
- 856-423-7000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 3, 2006
- Last Update Date
- June 28, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 296 Kings Highway
Clarksboro, NJ 08020 - City
- Clarksboro
- State
- New Jersey
- Zip
- 08020
- Phone Number
- 856-423-7000
Provider Business Mailing Address Details
- Address
- 296 Kings Highway
Clarksboro, NJ 08020 - City
- Clarksboro
- State
- NJ
- Zip
- 08020
- Phone Number
- 856-423-7000
License Information
- License Number
- 25MB04853900
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Robert A Provencher, DO?
The NPI number of Robert A Provencher, DO is 1669402152. It was assigned on July 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Robert A Provencher, DO?
Robert A Provencher, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB04853900.
Where does Robert A Provencher, DO practice?
The practice location is 296 Kings Highway, Clarksboro, NJ 08020. The office can be reached at 856-423-7000 (phone).
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 1669402152 directly on the NPPES registry website.