Provider Demographics
NPI:1508042037
Name:CAROL E. RITTER M.D. P.A.
Entity Type:Organization
Organization Name:CAROL E. RITTER M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. CAROL E. RITTER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:E
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-296-2557
Mailing Address - Street 1:6569 N CHARLES ST
Mailing Address - Street 2:SUITE 611 PHYSICIANS PAVILION WEST
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6831
Mailing Address - Country:US
Mailing Address - Phone:410-296-2557
Mailing Address - Fax:410-296-3105
Practice Address - Street 1:6569 N CHARLES ST
Practice Address - Street 2:SUITE 611 PHYSICIANS PAVILION WEST
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6831
Practice Address - Country:US
Practice Address - Phone:410-296-2557
Practice Address - Fax:410-296-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
160005658OtherMEDICARE RAILROAD
MD484MMedicare PIN