Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD423738 | PA |
Y | 207RX0202X | Medical Oncology | MD423738 | PA |
NPI | 1104882406 |
---|---|
Provider Name | Dr. Paula Ronjon |
First Address | Danville, PA 17822-3034 |
Second Address | Wilkes Barre, PA 18711-0027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 29/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100936220 | (05) | PA |
H73706 | (02) |