Healthcare Provider Details

I. General information

NPI: 1124014212
Provider Name (Legal Business Name): RONEE ANN SKORNIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 WORCESTER ST WOMEN'S HEALTH ASSOCIATES, INC
WELLESLEY HILLS MA
02481-5521
US

IV. Provider business mailing address

173 WORCESTER ST
WELLESLEY HILLS MA
02481-5521
US

V. Phone/Fax

Practice location:
  • Phone: 781-237-0080
  • Fax: 781-237-0291
Mailing address:
  • Phone: 781-239-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number50993
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: