Provider Demographics
NPI:1942603188
Name:RONNETT, GABRIELE VALERIA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELE
Middle Name:VALERIA
Last Name:RONNETT
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HORSESHOE CURVE DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-7716
Mailing Address - Country:US
Mailing Address - Phone:410-802-9814
Mailing Address - Fax:215-540-4612
Practice Address - Street 1:501 HORSESHOE CURVE DR
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-7716
Practice Address - Country:US
Practice Address - Phone:410-802-9814
Practice Address - Fax:215-540-4612
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035274174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist