Rittenhouse, Jerry R
Rittenhouse, Jerry R is an individual health care provider with primary practice located at 3 Woodland Rd Suite 216, Stoneham MA 02180-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rittenhouse, Jerry R can be contacted via phone (781) 979-0661.Contact Information
Primary practice address
3 Woodland Rd Suite 216
Stoneham MA 02180-1702
Phone: (781) 979-0661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 74093 | Massachusetts |
Profile Details
| NPI number | 1831124916 |
|---|---|
| LBN Legal business name | Rittenhouse, Jerry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 9th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831124916 | NPPES |
| Massachusetts | Other | J10977 | BCBS |
| Massachusetts | MEDICAID | 3119394 | BCBS |
| Massachusetts | Other | 340005511 | BCBS |
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