Provider Demographics
NPI:1871695031
Name:RIGTERINK, ELLEN S (MD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:S
Last Name:RIGTERINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9208 ORCHARD BROOK DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2405
Mailing Address - Country:US
Mailing Address - Phone:301-279-7468
Mailing Address - Fax:
Practice Address - Street 1:HOLY CROSS HOSPITAL
Practice Address - Street 2:1500 FOREST GLEN RD - KAISER OFFICE
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20854
Practice Address - Country:US
Practice Address - Phone:301-754-7126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD 0020429208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics