Individual
MADELINE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 FAYETTE ST, PERTH AMBOY, NJ 08861-4140
(732) 318-5907
Mailing address
187 FAYETTE ST, PERTH AMBOY, NJ 08861-4140
(732) 318-5907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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