Organization
VINCENT ORTOLANO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT ORTOLANO M.D. (PHYSICIAN)
(505) 294-6979
Entity
Organization
Contact information
Practice address
8120 CONSTITUTION PL NE, SUITE 220, ALBUQUERQUE, NM 87110-7625
(505) 294-6979
(505) 294-6986
Mailing address
8120 CONSTITUTION PL NE, SUITE 220, ALBUQUERQUE, NM 87110-7625
(505) 294-6979
(505) 294-6986
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
92114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E3072
—
NM
Enumeration date
11/19/2007
Last updated
02/13/2017
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