NPI 1962456905

Richard Joseph Provenzano, MD

Practitioner Ophthalmology Physician Bennington, VT

Practice location

Address: 322 Dewey St, Bennington, VT 05201-2225
Phone: (802) 447-8700
Fax: (802) 447-1500

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 042-0006501 (VT)

Other Ophthalmology providers in Vermont →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 45884 (MA)

Registry record

NPI: 1962456905
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2006
Record last updated: 30 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.