Provider Demographics
NPI:1659665891
Name:RUFFNER, MELANIE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:RUFFNER
Suffix:
Gender:F
Credentials:MD, PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 MARKET ST FL 3
Mailing Address - Street 2:CHOP- DIVISION OF ALLERGY AND IMMUNOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3365
Mailing Address - Country:US
Mailing Address - Phone:215-590-2549
Mailing Address - Fax:215-590-6849
Practice Address - Street 1:3550 MARKET ST FL 3
Practice Address - Street 2:CHOP- DIVISION OF ALLERGY AND IMMUNOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3365
Practice Address - Country:US
Practice Address - Phone:215-590-2549
Practice Address - Fax:215-590-6849
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT199539208000000X
PAMD4509852080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics