Individual
MR. HUMBERTO ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 W BROAD ST, BETHLEHEM, PA 18018
(610) 954-8040
Mailing address
P.O BOX 5520, BETHLEHEM, PA 18015
(610) 954-8040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100491
PA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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