Individual
DR. JAY A PROVENZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
25 SCHOOL ST, SUITE B-2, QUINCY, MA 02169-6607
(617) 689-0440
(617) 689-0420
Mailing address
25 SCHOOL ST, SUITE B-2, QUINCY, MA 02169-6607
(617) 689-0440
(617) 689-0420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2886
MA
Other
Enumeration date
12/04/2006
Last updated
06/09/2010
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