Individual
MICHAEL D RANCURELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8626
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8626
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD021259E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870330
—
PA
05
—
2316416
—
OH
Enumeration date
08/09/2005
Last updated
10/22/2020
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