Individual
DR. RITA DELORES WUTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7800 CENTRAL AVE, HYATTSVILLE, MD 20785-4807
(410) 804-7200
(301) 218-7916
Mailing address
7800 CENTRAL AVE, HYATTSVILLE, MD 20785-4807
(410) 804-7200
(301) 218-7916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053915
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101895
JHHC PROVIDER NUMBER
MD
01
—
1167557
CIGNA PIN
MD
01
—
2163607
MAMSI SPECIALIST
MD
05
—
332502400
—
MD
01
—
3654331
AETNA CAPITATED
MD
05
—
521923448
—
MD
01
—
5317701
AETNA FEE FOR SERVICE
MD
01
—
642957-03
CAREFIRST MD RENDERING
MD
01
—
7605-0081
CAREFIRST BLUECHOICE
MD
01
—
8163607
MAMSI PRIMARY CARE
MD
01
—
P00381804
RAILROAD MEDICARE
MD
01
—
P17049
CAREFIRST MPOS
MD
Enumeration date
08/25/2005
Last updated
12/28/2020
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