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Gina Provenzano, MD
Orthopedic Surgery Physician in Philadelphia, Pennsylvania
NPI 1841784030

Gina Provenzano is a Orthopedic Surgery Physician based in Philadelphia, PA. Gina Provenzano practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Gina Provenzano is 1841784030 and holds a License No. (Pennsylvania).

The current practice location address for Gina Provenzano is 925 Chestnut St, Philadelphia, PA and can be reached out via phone at 267-297-2440 and via fax at 267-479-1379.

Location: 925 Chestnut St, Philadelphia, PA, 19107-4216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841784030
Provider Name
Gina Provenzano
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
925 Chestnut St, Philadelphia, PA, 19107-4216
Phone Number
267-297-2440
Fax Number
267-479-1379
Provider Enumeration Date
06/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
925 Chestnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-4216
Phone Number
267-297-2440
Fax Number
267-479-1379
person
Provider Business Mailing Address Details
Address
925 Chestnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-4216
Phone Number
267-297-2440
Fax Number
267-479-1379
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
MD481359 (Pennsylvania)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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