Individual
JENNIFER MCINNES RITZAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 621-6464
(401) 751-3985
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 621-6464
(401) 751-3985
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD11338
RI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
272741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7050186
—
RI
Enumeration date
07/07/2005
Last updated
07/31/2019
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