Fausto Ortiz MD

NPI 1073741427 - Internal Medicine - 207R00000X

NPI Details
NPI 1073741427
Gender Male
Enumeration Date 06/24/2009
Last Updated 05/09/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
801 MASSACHUSETTS AVE
CROSSTOWN 2
BOSTON MA, 02118-2605, US
Phone (617) 414-4376
Fax (617) 414-4676
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 252328
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According to our database, Dr. Fausto Ortiz MD NPI is 1073741427, taxonomy code is 207R00000X and license number is 252328, license state is located at Massachusetts. Fausto Ortiz MD physically located at 801 Massachusetts Ave, Boston MA, 02118-2605. NPI Number Fausto Ortiz MD has the Individual type.

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1073741427 NPI number is provided on an as is basis without warranty of any kind. 1073741427 is maintained by the National Plan & Provider Enumeration System. The contents of Fausto Ortiz MD are for informational purposes only.