Individual
CHRISTIAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 MAIN ST, HACKENSACK, NJ 07601-4847
(201) 488-6728
Mailing address
132 RIVERVALE RD, RIVER VALE, NJ 07675-6248
(845) 304-0617
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01189300
NJ
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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