Individual
LEONARDO ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
357 TOTOWA AVE, PATERSON, NJ 07502-2125
(973) 595-5656
Mailing address
14 KOSSUTH PL, WAYNE, NJ 07470-3508
(973) 305-1616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03032600
NJ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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