Provider Demographics
NPI:1376516252
Name:RITVO, JONATHAN ISAAC (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ISAAC
Last Name:RITVO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 S CHERRY ST
Mailing Address - Street 2:#650
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1325
Mailing Address - Country:US
Mailing Address - Phone:303-333-3163
Mailing Address - Fax:303-399-0232
Practice Address - Street 1:501 S CHERRY ST
Practice Address - Street 2:#650
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1325
Practice Address - Country:US
Practice Address - Phone:303-333-3163
Practice Address - Fax:303-399-0232
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO193072084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry