Individual
SUSAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CHRISTOPHER COLUMBUS DR, JERSEY CITY, NJ 07302-5526
(201) 451-6300
(201) 451-8300
Mailing address
6 TIONA AVE, BELLEVILLE, NJ 07109-2212
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15074500
NJ
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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