Individual
ALEXANDER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, EMERGENCY DEPT, DOVER, NH 03820-2526
(631) 444-2754
(631) 444-6031
Mailing address
PO BOX 845398, BOSTON, MA 02284-5398
(603) 742-5252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15260
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32000704
—
NH
01
—
P00979653
RRMCARE THRU SCEP
NH
Enumeration date
06/16/2008
Last updated
12/15/2011
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