Individual
RITU GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(617) 650-9545
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(617) 650-9545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
224854
MA
2085R0202X
Diagnostic Radiology Physician
Primary
335565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104130
—
MA
01
—
335565
NEW YORK STATE MEDICAL LICENSE
NY
01
—
468318
TUFTS HEALTH PLAN
MA
01
—
J28851
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/13/2005
Last updated
04/04/2025
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