Provider Demographics
NPI:1376520593
Name:RITTENHOUSE, ERIC RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:RAY
Last Name:RITTENHOUSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 S CEDAR CREST BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6207
Mailing Address - Country:US
Mailing Address - Phone:610-437-7000
Mailing Address - Fax:610-437-6381
Practice Address - Street 1:1275 S CEDAR CREST BLVD STE 2
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6207
Practice Address - Country:US
Practice Address - Phone:610-437-7000
Practice Address - Fax:610-437-6381
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA050588L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1511442OtherGATEWAY GROUP #
PA1506473OtherGATEWAY
PA02294500OtherCAP BLUECROSS GROUP #
PA74731OtherMEDPLUS
PA1048305OtherAMERIHEALTH MERCY
PA642963OtherPA BLUE SHIELD
PA0016201900003Medicaid
PA0268906000OtherKHPE GROUP #
PA0780707000OtherKEYSTONE HEALTH PLAN EAST
PA993220OtherKEYSTONE HEALTH PLAN CENT
PA01053001OtherCAP BLUE CROSS
PA124389OtherPA BLUE SHIELD GROUP #
PA4611221OtherAETNA
PA500134OtherAETNA GROUP NUMBER
PA048415Medicare ID - Type UnspecifiedGROUP #
PA0268906000OtherKHPE GROUP #
PA1048305OtherAMERIHEALTH MERCY