Individual
DR. JUSTIN R. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 225-8369
(443) 552-2685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00047468
WA
207RI0200X
Infectious Disease Physician
Primary
D84190
MD
207RP1001X
Pulmonary Disease Physician
MD00047468
WA
Other
Enumeration date
01/29/2007
Last updated
03/17/2018
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