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Individual

DR. ALEX ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
190 W BROAD ST, STAMFORD, CT 06902-3633
(203) 348-2437
(203) 276-7243
Mailing address
190 W BROAD ST, STAMFORD, CT 06902-3633

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259772
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
259772
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
54208
CT
207RP1001X
Pulmonary Disease Physician
259772
NY
207RP1001X
Pulmonary Disease Physician
Primary
54208
CT

Other

Enumeration date
07/02/2008
Last updated
04/07/2017
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