Provider Demographics
NPI:1215934302
Name:RITTERBUSCH, MARGARET M (OD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:RITTERBUSCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CANAL POINTE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7063
Mailing Address - Country:US
Mailing Address - Phone:609-419-1920
Mailing Address - Fax:609-419-1905
Practice Address - Street 1:100 CANAL POINTE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7063
Practice Address - Country:US
Practice Address - Phone:609-419-1920
Practice Address - Fax:609-419-1905
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00463000152W00000X
NJ27TO00029000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0116010OtherAETNA
NJ222516468OtherHORIZON
NJ589214N6JMedicare PIN
U02564Medicare UPIN