Individual
JENNIFER RITTENHOUSE-PUHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 469-7110
Mailing address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 469-7110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD459286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13929115
CAQH
—
Enumeration date
08/15/2011
Last updated
09/15/2022
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