Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 35.094967 | OH |
NPI | 1003099912 |
---|---|
Provider Name | Erica J Stovsky |
First Address | Rootstown, OH 44272 |
Second Address | Rootstown, OH 44272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 14/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35.094967 | STATE MEDICAL BOARD OF OHIO (01) | OH |
MD443051 | PENNSYLVANIA STATE BOARD OF MEDICINE (01) | PA |