Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 25MA06038500 | NJ |
NPI | 1043272479 |
---|---|
Provider Name | Jill Ritter |
First Address | Livingston, NJ 07039-5817 |
Second Address | Livingston, NJ 07039-5817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F78193 | (02) | NJ |