Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 050914 | GA |
NPI | 1013956903 |
---|---|
Provider Name | Anthony Bruno Royek |
First Address | Savannah, GA 31404-6268 |
Second Address | Savannah, GA 31404-6200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000936163A | (05) | GA |
000936163B | (05) | GA |
000936163C | (05) | GA |
000936163D | (05) | GA |
000936163E | (05) | GA |
000936163F | (05) | GA |
10065265 | AMERIGROUP (01) | GA |
160056066 | RAILROAD MEDICARE (01) | |
197289 | BLUE CROSS BLUE SHIELD (01) | GA |
349824 | WELLCARE (01) | GA |
582162071007 | CHAMPUS (01) | |
G50914 | (05) | SC |