Provider Demographics
NPI:1952414047
Name:ANTHONY J. RANERI, MD, PA
Entity type:Organization
Organization Name:ANTHONY J. RANERI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RANERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-354-1070
Mailing Address - Street 1:3001 S HANOVER ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1233
Mailing Address - Country:US
Mailing Address - Phone:410-354-1070
Mailing Address - Fax:410-354-4129
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-354-1070
Practice Address - Fax:410-354-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD16381208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE175OtherBLUECHOICE #
MD7465AJOtherCAREFIRST
MD7465AJOtherCAREFIRST
MD7465Medicare ID - Type UnspecifiedMEDICARE