Individual
AMY BETH GONROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 MILLBURY ST, AUBURN, MA 01501
(508) 832-9691
(508) 832-7670
Mailing address
105 MILLBURY ST, AUBURN, MA 01501
(508) 832-9691
(508) 832-7670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064557
—
MA
Enumeration date
10/25/2006
Last updated
12/01/2011
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