Organization
JESSE L. RITVO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE L. RITVO MD (OWNER)
(802) 229-5115
Entity
Organization
Contact information
Practice address
132 MAIN ST, MONTPELIER, VT 05602-3226
(802) 229-5115
Mailing address
132 MAIN ST, MONTPELIER, VT 05602-3226
(802) 229-5115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0011952
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017550
—
VT
Enumeration date
01/17/2011
Last updated
01/17/2011
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