Provider Demographics
NPI:1013987916
Name:AURIGEMMA, RALPH M (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:M
Last Name:AURIGEMMA
Suffix:
Gender:M
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:PO BOX 3626
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-0626
Mailing Address - Country:US
Mailing Address - Phone:302-992-0500
Mailing Address - Fax:
Practice Address - Street 1:110 AMERICAN BLVD STE 10
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1767
Practice Address - Country:US
Practice Address - Phone:856-352-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004111207Q00000X
DEC1-0004111207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000638701Medicaid
DE140278Medicare PIN
DE0000638701Medicaid