# GUILLERMO ORTIZ M.D. OB/GYN LLC

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

## Provider details

- **NPI number:** 1841598026
- **Authorized official:** DR. GUILLERMO ORTIZ M.D. (OWNER)
- **Authorized official phone:** (973) 361-5252

## Contact information

- **Practice address:** 249 S MAIN ST, WHARTON, NJ 07885
- **Practice address phone:** (973) 361-5252
- **Practice address fax:** (973) 361-6161
- **Mailing address:** 249 S MAIN ST, WHARTON, NJ 07885-2009
- **Mailing address phone:** (973) 361-5252
- **Mailing address fax:** (973) 361-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA06046500 | NJ | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/11/2011