Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 48597 | KY |
Y | 207VX0201X | Gynecologic Oncologist | 273597 | MA |
NPI | 1184885576 |
---|---|
Provider Name | Elizabeth B Pelkofski |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605-2726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 09/11/2020 |