Individual
DR. JORGE A. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35122948
OH
204F00000X
Transplant Surgery Physician
L9407
TX
204F00000X
Transplant Surgery Physician
MD-072163-L
PA
208600000X
Surgery Physician
Primary
188728
NY
208600000X
Surgery Physician
L9407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107572
—
OH
Enumeration date
04/27/2006
Last updated
10/16/2024
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