Organization
CATHERINE LARUFFA MD INC
Active
Other names
CATHERINE LARUFFA MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE LARUFFA MD (PRESIDENT CEO)
(937) 783-2600
Entity
Organization
Contact information
Practice address
700 S BROADWAY ST, BLANCHESTER, OH 45107-1465
(937) 783-2600
(937) 783-3086
Mailing address
700 S BROADWAY ST, BLANCHESTER, OH 45107-1465
(937) 783-2600
(937) 783-3086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3561245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022715
ANTHEM
—
01
—
0028777
TRICARE
—
01
—
0120567
UNITED HEALTHCARE
—
05
—
0840693
—
OH
01
—
277932
AMERIGROUP OH MEDICAID
OH
01
—
289506103006
MEDICAL MUTUAL
—
01
—
4384406
AETNA
—
01
—
61245
HUMANA CHOICE CARE
—
Enumeration date
08/28/2006
Last updated
10/07/2019
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