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NPI Code Detail

MEDICARE: RITTENHOUSE ANESTHESIA ASSOCIATES, LTD.

MEDICARE: RITTENHOUSE ANESTHESIA ASSOCIATES, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013962331
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITTENHOUSE ANESTHESIA ASSOCIATES, LTD.
Provider Business Mailing Address
First Line : 520 S 19TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1449
Country : US
Telephone Number : 215-545-4173
Fax Number : 215-545-1543
Provider Business Practice Location Address
First Line : 520 S 19TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1449
Country : US
Telephone Number : 215-545-4173
Fax Number : 215-545-1543
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MARY KAY JOHNSON
Credential :
Telephone Number : 215-545-4173
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/22/2020

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Directions to “RITTENHOUSE ANESTHESIA ASSOCIATES, LTD. ” Practice Location

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