Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A108141 | CA |
N | 2080P0216X | Pediatric Rheumatologist | 0101251912 | VA |
N | 2080P0216X | Pediatric Rheumatologist | D74427 | MD |
Y | 2080P0216X | Pediatric Rheumatologist | MD 040559 | DC |
NPI | 1003948431 |
---|---|
Provider Name | Dr. Tova Ronis |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 03/08/2012 |