Individual
JEROME RITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, M530, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-3465
(617) 632-5167
Mailing address
450 BROOKLINE AVE, M530, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-3465
(617) 632-5167
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
39404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067386
AETNA US HEALTHCARE
—
01
—
3004482
UNITED HEALTH CARE
—
01
—
50326
FALLON COMMUNITY HEALTH
—
01
—
5574325
CIGNA
—
01
—
6189024
MASSHEALTH MEDICAID MA
—
01
—
729824
TUFTS
—
01
—
B87143DF
HPHC DFCI ONLY
—
Enumeration date
03/14/2006
Last updated
03/24/2011
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