Individual
EDDY O. ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-2516
(609) 651-1700
Mailing address
1604 47TH ST, PENNSAUKEN, NJ 08110-4138
(609) 561-1700
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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