Dr RICHARD J PROVENZANO MD is a male medical professional, specializing in Ophthalmology. He graduated in 1975 from Tufts University School Of Medicine.
ADVANCED EYECARE PC
77 HOSPITAL AVE
NORTH ADAMS
MA
012472550
Tel: 4136646736
| Npi | 1962456905 |
| Pac Id | 2961485776 |
| Professional Enrollment Id | I20050614000938 |
| Last Name | PROVENZANO |
| First Name | RICHARD |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPHTHALMOLOGY |
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| Organization Legal Name | ADVANCED EYECARE PC |
| Group Practice Pac Id | 1052301546 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 77 HOSPITAL AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 012472550 |
| Phone Number | 4136646736 |
| Hospital Affiliation Ccn 1 | 220046 |
| Hospital Affiliation Lbn 1 | BERKSHIRE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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