Individual
SHANNON B RITTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2399 ROUTE 34 BLDG A5, MANASQUAN, NJ 08736-1500
(732) 528-5533
(732) 528-5533
Mailing address
404 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB07638200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176966
—
NJ
Enumeration date
01/13/2006
Last updated
12/13/2021
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