Individual
RAMONA DVORAK
Active
Individual
RAMONA DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56861
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283134
MAGELLAN OUT OF NETWORK #
—
05
—
3012389
—
MA
01
—
759563
TUFT'S PROVIDER NUMBER
—
Enumeration date
11/04/2005
Last updated
02/03/2015
Update your record
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