Provider Demographics
NPI:1962930529
Name:ANTHONY J RANERI MD LLC
Entity type:Organization
Organization Name:ANTHONY J RANERI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
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:410-787-4900
Mailing Address - Street 1:3001 S HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1233
Mailing Address - Country:US
Mailing Address - Phone:410-787-4900
Mailing Address - Fax:410-350-3788
Practice Address - Street 1:BALTIMORE WASHINGTON MEDICAL CENTER
Practice Address - Street 2:301 HOSPITAL DRIVE; WOUND HEALING CENTER
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5803
Practice Address - Country:US
Practice Address - Phone:410-787-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty