Individual
EDDY O. ORTEGA
Active
Individual
EDDY O. ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
25MA05943600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D06293600
CDS
NJ
Enumeration date
02/09/2007
Last updated
03/07/2023
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