MEDICARE: RONEE ANN SKORNIK MD

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	207VG0400X	Gynecology Physician	50993	MA

General Provider Information

NPI Number	:	1124014212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONEE ANN SKORNIK MD

Provider Business Mailing Address
First Line	:	173 WORCESTER ST
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-5521
Country	:	US
Telephone Number	:	781-239-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	173 WORCESTER ST
Second Line	:	WOMEN'S HEALTH ASSOCIATES, INC
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-5521
Country	:	US
Telephone Number	:	781-237-0080
Fax Number	:	781-237-0291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/07/2007

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