Provider Demographics
NPI:1831547652
Name:RITTENBACH, MARIA ROSARIO DRISCOLL (MD)
Entity type:Individual
Prefix:
First Name:MARIA ROSARIO
Middle Name:DRISCOLL
Last Name:RITTENBACH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:INOVA CHILDREN'S HOSPITAL PEDIATRIC RESIDENCY PROGRAM
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-7834
Mailing Address - Fax:
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:INOVA CHILDREN'S HOSPITAL PEDIATRIC RESIDENCY
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-7834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116029181208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics