Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 74647 | MA |
NPI | 1003885062 |
---|---|
Provider Name | Dr. Ronald Kenneth Pye |
First Address | Auburndale, MA 02466-2510 |
Second Address | Newton, MA 02462-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3085031 | (05) | MA |
F03141 | (02) | MA |