Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD455398 | PA |
NPI | 1023302965 |
---|---|
Provider Name | Rachel B Anolik |
First Address | Wyomissing, PA 19610-3222 |
Second Address | Wyomissing, PA 19610-3222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 07/02/2017 |