Individual
ERWIN MANUEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 MUIR PL, VAUXHALL, NJ 07088-1020
(973) 943-6989
Mailing address
4 MUIR PL, VAUXHALL, NJ 07088-1020
(973) 943-6989
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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