Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD056740-L | PA |
NPI | 1043338700 |
---|---|
Provider Name | Denise A Ranucci |
First Address | Ambler, PA 19002-2307 |
Second Address | Horsham, PA 19044-2220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 20/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201190316 | DEVON (01) | PA |
201190316 | TRICARE (01) | PA |
201190316 | UNITED (01) | PA |
2295165000 | KEYSTONE (01) | PA |
2Y7550 | HEALTHNET (01) | PA |
3550319 | AETNA (01) | PA |
458533000 | AMERIHEALTH (01) | PA |
620582 | CIGNA (01) | PA |
959137 | BCBS-PC (01) | PA |
G55823 | (02) | PA |
P1262777 | OXFORD (01) | PA |