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1154415222
ILUMINADO ORTANEZ
PRINCETON, NJ
NPI
1154415222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ 25MA02778500)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- ILUMINADO ORTANEZ M.D.
905 HERRONTOWN RD PRINCETON HOUSE BEHAVIORAL HEALTH
PRINCETON, NJ 08540-1901
Phone number: 609-497-3300
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Mailing Address
-- ILUMINADO ORTANEZ M.D.
3626 US HIGHWAY 1
PRINCETON, NJ 08540-5922
Phone number: 609-243-0445
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