Individual
JENNIFER LEE RIEDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8601 VETERANS HWY, SUITE 204, MILLERSVILLE, MD 21108-1547
(410) 729-0424
(410) 729-0492
Mailing address
PO BOX, BALTIMORE, MD 21264-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0050725
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110184187 CC0691
RR MEDICARE
MD
01
—
1392
BRAVO/ELDER HEALTH
MD
05
—
197300200
—
MD
01
—
213842
CIGNA
MD
01
—
3134395
AETNA HMO
MD
01
—
38226
JOHNS HOPKINS HEALTHCARE
MD
01
—
69901
AMERIGROUP
MD
01
—
7239055
AETNA PPO
MD
01
—
768973-03
CARE FIRST BLUE CROSS
MD
01
—
O242-0015
CARE FIRST BLUE CROSS
DC
Enumeration date
06/17/2006
Last updated
04/16/2008
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