Healthcare Provider Details

I. General information

NPI: 1982869343
Provider Name (Legal Business Name): CARSTEN HARTWIG RITTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE STE 300 THE SANDRA AND MALCOLM BERMAN BRAIN & SPINE INSTITUTE
BALTIMORE MD
21209-4358
US

IV. Provider business mailing address

5051 GREENSPRING AVE STE 300 THE SANDRA AND MALCOLM BERMAN BRAIN & SPINE INSTITUTE
BALTIMORE MD
21209-4358
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-8077
  • Fax: 410-601-8905
Mailing address:
  • Phone: 410-601-8077
  • Fax: 410-601-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberMD038152
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberMC-1815
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number30262
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number2025017339
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberD69589
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: