Individual
DR. RAE LYNN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Mailing address
5209 BISHOPS VIEW CIR, CHERRY HILL, NJ 08002-3453
(856) 661-0769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT186737
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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