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Individual
ILEANA ORTIZ-EVANS
Active
Individual
ILEANA ORTIZ-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA68294
NJ
207Q00000X
Family Medicine Physician
MD071288L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119772
MEDICARE PA
PA
05
—
8313407
—
NJ
Enumeration date
10/26/2005
Last updated
02/21/2020
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