Individual
CARLOS A ORTIZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, EMERGENCY MEDICINE, HACKENSACK, NJ 07601-1914
(201) 996-4614
Mailing address
30 PROSPECT AVE, EMERGENCY MEDICINE, HACKENSACK, NJ 07601-1914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08263500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306041116
—
MT
Enumeration date
06/20/2007
Last updated
10/19/2021
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