Provider Demographics
NPI:1871588970
Name:DENISE RANUCCI MD,LLC
Entity type:Organization
Organization Name:DENISE RANUCCI MD,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RANUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-657-5903
Mailing Address - Street 1:714 DAVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2307
Mailing Address - Country:US
Mailing Address - Phone:215-657-5903
Mailing Address - Fax:215-657-5905
Practice Address - Street 1:303 HORSHAM RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2029
Practice Address - Country:US
Practice Address - Phone:215-657-5903
Practice Address - Fax:215-657-5905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056740L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2295165000OtherKEYSTONE99
PA2295165000OtherINDEPENDANCE BLUE CROSS
PA458533000OtherAMERIHEALTH
PAP1262777OtherOXFORD
PA3550319OtherAETNA
PA620582OtherCIGNA
PA1613426OtherHIGHMARK BCBS
PA1613426OtherHIGHMARK BCBS
PA3550319OtherAETNA
PAP1262777OtherOXFORD
PA=========OtherTRICARE
PA=========OtherDEVON