# OLIVIA T. ORTIZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578725073
- **Authorized official:** MRS. MARICIEL ORTIZ GATPOLINTAN (OFFICE MANAGER)
- **Authorized official phone:** (732) 505-4007

## Contact information

- **Practice address:** 1163 ROUTE 37 W, SUITE A-1, TOMS RIVER, NJ 08755-4973
- **Practice address phone:** (732) 505-4007
- **Practice address fax:** (732) 736-8811
- **Mailing address:** 1163 ROUTE 37 W, SUITE A-1, TOMS RIVER, NJ 08755-4973
- **Mailing address phone:** (732) 505-4007
- **Mailing address fax:** (732) 736-8811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 25MA07561700 | NJ | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 06/26/2008