Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT A PROVENCHER, DO
Active Sole ProprietorROBERT A PROVENCHER, DO is a Family Medicine healthcare provider located in CLARKSBORO, New Jersey. NPI 1669402152 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLARKSBORO, NJ
Registration Details
- NPI Number
- 1669402152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.089526514033 yrs)
- Last Updated
- Jun 28, 2010
- License
-
25MB04853900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
296 KINGS HIGHWAYCLARKSBORO, NJ, 08020Browse NJ providers · Browse ZIP 08020
- Phone
- 8564237000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CLARKSBORO, NJ
| Name | Credential | NPI |
|---|---|---|
| ERIC KRUGER | M.D. | 1487634952 |
| GERALD SCOTT ORLANDO II | DO | 1760010847 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.