Organization
MYRNA M. ORTEGA, M.D., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA M ORTEGA M.D, P.A. (PRESIDENT)
(410) 573-9450
Entity
Organization
Contact information
Practice address
2003 MEDICAL PKWY, SUITE 310, ANNAPOLIS, MD 21401-7992
(410) 573-9450
(410) 973-9439
Mailing address
2003 MEDICAL PKWY, SUITE 310, ANNAPOLIS, MD 21401-7992
(410) 573-9450
(410) 973-9439
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D36143
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208921100
—
MD
Enumeration date
03/31/2011
Last updated
03/31/2011
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