Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID PROVENZANO, MD
ActiveDR. DAVID PROVENZANO, MD is a Interventional Vascular Surgery healthcare provider located in SEWICKLEY, Pennsylvania. NPI 1790796233 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SEWICKLEY, PA
Registration Details
- NPI Number
- 1790796233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.02098830812 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
12812 (NH)12812 (NH)MD429974 (PA)
Practice Information
- Address
-
301 OHIO RIVER BLVD STE 203SEWICKLEY, PA, 151431300Browse PA providers · Browse ZIP 15143
- Phone
- 4122217640
- Fax
- 4124909850
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
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.