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Organization

GEORGE RITZ MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE RITZ M.D. (PRESIDENT)
(570) 824-2225
Entity
Organization

Contact information

Practice address
150 MUNDY ST, MAC 1, WILKES BARRE, PA 18702-6830
(570) 824-2225
(570) 824-6240
Mailing address
150 MUNDY ST, MAC 1, WILKES BARRE, PA 18702-6830
(570) 824-2225
(570) 824-6240

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
048272L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014188430001
PA
01
735049
HIGHMARK BLUE SHIELD
Enumeration date
08/22/2007
Last updated
08/22/2007
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