Provider Demographics
NPI:1578050381
Name:STEPHEN G RITTER MD PA
Entity Type:Organization
Organization Name:STEPHEN G RITTER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-567-6140
Mailing Address - Street 1:1040 37TH PL STE 100
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4808
Mailing Address - Country:US
Mailing Address - Phone:772-567-6140
Mailing Address - Fax:772-567-6170
Practice Address - Street 1:1040 37TH PL STE 100
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4808
Practice Address - Country:US
Practice Address - Phone:772-567-6140
Practice Address - Fax:772-567-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty