Individual
JON C RITTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ DEPT OF, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
301705-01
NY
207P00000X
Emergency Medicine Physician
Primary
MD424700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168442
UNISON
PA
05
—
101045510
—
PA
01
—
1540340
GATEWAY
PA
01
—
1624446
BCBS PA
PA
01
—
2673763
OHIO MEDICAID
PA
01
—
701511
UPMC
PA
01
—
7389515
CIGNA
PA
01
—
P00262611
RR MEDICARE
PA
Enumeration date
09/26/2005
Last updated
03/03/2021
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