Individual
JOSE M ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 NOKOMIS AVE, LAKE HIAWATHA, NJ 07034-2609
(973) 334-4466
Mailing address
34 NOKOMIS AVE, LAKE HIAWATHA, NJ 07034-2609
(973) 334-4466
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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