Most Relevant Information
Provider Data
| NPI Number: | 1003075276 |
| Provider Name: | LAURA FERREIRA PROVENZANO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 228725 |
Most Important Dates
| Enumeration Date: | 06/03/2008 |
| Last Updated: | 06/03/2008 |
Provider Practice Location
736 CAMBRIDGE ST
BOSTON
MA
021352907
Practice Location Phone/Fax
| Phone: | 6177893000 |
| Fax: |
Provider Mailing Location
736 CAMBRIDGE ST
BOSTON
MA
021352907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR