Organization
RIVERVIEW UROLOGIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HARRIS RITTENBERG M.D. (PRESIDENT)
(570) 288-3601
Entity
Organization
Contact information
Practice address
423 3RD AVE, SUITE B, KINGSTON, PA 18704-5809
(570) 288-3601
(570) 288-1726
Mailing address
423 3RD AVE, SUITE B, KINGSTON, PA 18704-5809
(570) 288-3601
(570) 288-1726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006718740002
—
PA
01
—
02312200
CAPITAL BLUE CROSS
DC
01
—
034369
BLUE SHIELD
PA
01
—
0671874
GATEWAY HEALTH PLAN
PA
01
—
0900660001
MEDICARE DME
PA
01
—
1000828
GHI
NY
01
—
1039517
KEYSTONE MERCY
PA
01
—
31950
HEALTH AMERICA
PA
01
—
505911
AETNA USHEALTHCARE
PA
01
—
811056
FIRST PRIORITY HEALTH
PA
01
—
CA9999
TRAVELERS RAILROAD MEDICA
PA
Enumeration date
03/29/2006
Last updated
11/14/2007
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