Individual
CAMERON ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PLEASANT HILL RD, CHESTER, NJ 07930-2141
(973) 252-6300
Mailing address
54 ANN RD, LONG VALLEY, NJ 07853-3506
(973) 945-2416
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JQY411A61612
ANTHEM BLUE CROSS
—
Enumeration date
03/01/2021
Last updated
03/01/2021
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