Provider Demographics
NPI:1043338700
Name:RANUCCI, DENISE A (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:RANUCCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:721 DRESHER RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2220
Practice Address - Country:US
Practice Address - Phone:215-657-5903
Practice Address - Fax:215-657-5905
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2016-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056740-L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2295165000OtherKEYSTONE
PA201190316OtherUNITED
PA458533000OtherAMERIHEALTH
PA620582OtherCIGNA
PA201190316OtherTRICARE
PAP1262777OtherOXFORD
PA201190316OtherDEVON
PA3550319OtherAETNA
PA2Y7550OtherHEALTHNET
PA959137OtherBCBS-PC
PA201190316OtherTRICARE
PAP1262777OtherOXFORD