Carlucci, Ronald J

Carlucci, Ronald J is an individual health care provider with primary practice located at 720 Summer St , Media PA 19063-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlucci, Ronald J can be contacted via phone (610) 566-2606.

Contact Information

Primary practice address
720 Summer St Media PA 19063-1509
Phone: (610) 566-2606
Fax: (610) 566-2066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD006225E Pennsylvania

Profile Details

NPI number 1831177682
LBN Legal business name Carlucci, Ronald J
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831177682 NPPES
Pennsylvania Other 014695 BS
Pennsylvania MEDICAID 0704133 BS

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