Individual
DR. JESUS RUBEN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
571 N 6TH ST, NEWARK, NJ 07107-2501
(973) 485-5401
(973) 485-1536
Mailing address
1079 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1418
(973) 731-9464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR07857300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6164102
—
NJ
Enumeration date
12/16/2006
Last updated
07/08/2007
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