Individual
MARK PETER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 HOWARD AVE LOWR LEVEL, NEW HAVEN, CT 06519-1369
(203) 785-4085
Mailing address
800 HOWARD AVE LOWR LEVEL, NEW HAVEN, CT 06519-1369
(203) 785-4085
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
021715
NY
2084N0400X
Neurology Physician
Primary
6525
CT
Other
Enumeration date
12/18/2017
Last updated
04/19/2024
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