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Individual

DR. WANDA RONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
807 N HADDON AVE, SUITE 212, HADDONFIELD, NJ 08033-1749
(856) 429-0400
(856) 429-8411
Mailing address
801 SPRUCE ST, 7H FLOOR, PHILADELPHIA, PA 19107-5701
(215) 829-2345
(215) 829-3365

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD042172E
PA
207VG0400X
Gynecology Physician
25MA05255300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000802236
HIGHMARK BLUE SHIELD
PA
01
0436976370
HORIZON
NJ
01
043697637006
CIGNA
NJ
01
0828233000
AMERIHEALTH HMO
NJ
01
2832953
AETNA
NJ
Enumeration date
06/03/2006
Last updated
10/23/2012
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