Individual
DOUGLAS S ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 LEXINGTON AVE, CLIFTON, NJ 07011-1232
(973) 478-7508
Mailing address
635 LEXINGTON AVE, CLIFTON, NJ 07011-1232
(973) 478-7508
(973) 253-8561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02683000
NJ
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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