Individual
YVONA M. TRNKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVENUE, BOSTON, MA 02215-2523
(617) 421-1380
(617) 421-1303
Mailing address
147 MILK STREET, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
40734
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003082
NEIGHBORHOOD HEALTH PLAN
MA
05
—
3179605
—
MA
01
—
3227393-002
CIGNA
MA
01
—
729764
TUFTS HEALTH PLAN
MA
01
—
E05238
BLUE CROSS
MA
01
—
M167
HARVARD PILGRIM
MA
01
—
P00074246
MEDICARE RAILROAD
MA
Enumeration date
10/03/2006
Last updated
06/03/2011
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