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Individual

DR. DIEGO ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1137 PINE ST APT 304, PHILADELPHIA, PA 19107-6050
(862) 216-8721
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT195986
NJ
208M00000X
Hospitalist Physician
Primary
25MA09109000
NJ

Other

Enumeration date
07/19/2009
Last updated
11/17/2020
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