Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 12945 | NH |
NPI | 1013971795 |
---|---|
Provider Name | Sirona Gh Pruna |
First Address | Newmarket, NH 03857-1843 |
Second Address | Newmarket, NH 03857-1843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 06/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30205771 | (05) | NH |
I52326 | (02) | NH |