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Primary Practice Address
12655 WARWICK BLVD
NEWPORT NEWS, VA 23606-2501 US
PECOS Enrolled

Jerome A Provenzano

Family Medicine Physician


Jerome A Provenzano

Overview

Jerome A Provenzano is a Family Medicine Physician in the NEWPORT NEWS area and has over 35 years of experience. Jerome A Provenzano primary office location is at 12655 WARWICK BLVD and new patients are welcome to contact this healthcare provider for an appointment. He attended Georgetown University School Of Medicine and graduated 1990

Jerome A Provenzano is affiliated with three hospitals in the NEWPORT NEWS area, including MARY IMMACULATE HOSPITAL. The NPI number is 1891760039 and the information was updated approximately 5 years ago.

Jerome A Provenzano is affiliated with one medical group in the NEWPORT NEWS area, TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
12655 WARWICK BLVD
NEWPORT NEWS, VA 23606-2501 US
Phone: (757)-595-9880
Fax:
Practice Mailing Information
860 OMNI BLVD STE 101
NEWPORT NEWS, VA 23606-2501 US
Phone: (757)-232-8769
Fax: (757)-232-8875

Practice Location Addresses: 1

License Number State
0101048791 VA