Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 50993 | MA |
NPI | 1124014212 |
---|---|
Provider Name | Ronee Ann Skornik |
First Address | Wellesley Hills, MA 02481-5521 |
Second Address | Wellesley Hills, MA 02481-5521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 07/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A57191 | (02) | MA |