Healthcare Provider Details

I. General information

NPI: 1851464143
Provider Name (Legal Business Name): JOSEPH N. RANIERI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 GANTTOWN RD SUITE B-1
SEWELL NJ
08080-2341
US

IV. Provider business mailing address

438 GANTTOWN RD SUITE B-1
SEWELL NJ
08080-2341
US

V. Phone/Fax

Practice location:
  • Phone: 856-270-2053
  • Fax:
Mailing address:
  • Phone: 856-270-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number25MB06064000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: