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1750312450
THOMAS R ORTIZ
NEWARK, NJ
NPI
1750312450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MA 40692)
Enumeration Date
2006-07-05
Last Update Date
2012-03-03
Business Address
-- THOMAS R ORTIZ MD
465 MT. PROSPECT AVE.
NEWARK, NJ 07104
Phone number: 973-483-3640
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Mailing Address
-- THOMAS R ORTIZ MD
465 MT. PROSPECT AVE.
NEWARK, NJ 07104
Phone number: 973-483-3640
Copy
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