MEDICARE: ATLANTIC WOMEN'S HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	M18322	OTHER	MA	BC/BS OF MA

General Provider Information

NPI Number	:	1427024140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC WOMEN'S HEALTH

Provider Business Mailing Address
First Line	:	118 LONG POND RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-830-3190
Fax Number	:	508-830-3170

Provider Business Practice Location Address
First Line	:	118 LONG POND RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-830-3190
Fax Number	:	508-830-3170

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VERONICA RAVNIKAR
Credential	:	M.D.
Telephone Number	:	508-830-3190

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/25/2009

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Directions to “ATLANTIC WOMEN'S HEALTH ” Practice Location

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