EVAN P PROVISOR MD PC NPI 1497732101

NPI Information

  • NPI: 1497732101
  • Provider Name: EVAN P PROVISOR MD PC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: SHARON SURGICAL GROUP
  • Address: 29 HOSPITAL HILL RD
    SUITE 1600
    SHARON, CT
    ZIP 06069
  • Phone: (860) 364-0226

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NPI Details

EVAN P PROVISOR MD PC is a surgery in Sharon, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. EVAN P PROVISOR MD PC NPI is 1497732101. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sharon Surgical Group.

The provider's business location address is:

29 HOSPITAL HILL RD
SUITE 1600
SHARON, CT
ZIP 06069-095
Phone: (860) 364-0226
Fax: (860) 364-0875

The provider's authorized official is Evan Paul Provisor .
The authorized official title is President and has the following contact phone number (860) 364-0226.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 8/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryCONNECTICUTYes

What is NPI?

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This page was last updated on: 11/21/2025

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