Individual
VINCENT ORTOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-9590
Mailing address
12401 WALKERWAY ST NE, ALBUQUERQUE, NM 87111-6278
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
92-114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011553
—
NM
Enumeration date
07/12/2006
Last updated
03/15/2018
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