Provider Demographics
NPI:1467770727
Name:RITTERMAN, SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:RITTERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E UWCHLAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1293
Mailing Address - Country:US
Mailing Address - Phone:844-941-6730
Mailing Address - Fax:106-594-3549
Practice Address - Street 1:1561 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3218
Practice Address - Country:US
Practice Address - Phone:610-792-9292
Practice Address - Fax:610-792-9293
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP01852207X00000X
RI14879207X00000X
PAMD459879207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1467770727Medicaid
RI1467770727Medicaid