Provider Demographics
NPI:1962475665
Name:RITTER, WADE A
Entity Type:Individual
Prefix:DR
First Name:WADE
Middle Name:A
Last Name:RITTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N MAIN ST
Mailing Address - Street 2:STE 1
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3592
Mailing Address - Country:US
Mailing Address - Phone:410-879-1212
Mailing Address - Fax:
Practice Address - Street 1:5500 KNOLL NORTH DR
Practice Address - Street 2:STE 440
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2364
Practice Address - Country:US
Practice Address - Phone:410-730-0970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-12
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01312213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist