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Individual

OLIVIA T ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1163 ROUTE 37 W, SUITE A1, TOMS RIVER, NJ 08755-4973
(732) 505-4007
(732) 736-8811
Mailing address
1163 ROUTE 37 W, SUITE A1, TOMS RIVER, NJ 08755-4973
(732) 505-4007
(732) 736-8811

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA07561700
NJ

Other

Enumeration date
12/17/2006
Last updated
05/25/2017
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