Iluminado Ortanez M.D.

NPI 1154415222 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1154415222
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
905 HERRONTOWN RD
PRINCETON HOUSE BEHAVIORAL HEALTH
PRINCETON NJ, 08540-1901, US
Phone (609) 497-3300
Fax (609) 497-3370
Business Location
3626 US HIGHWAY 1
PRINCETON NJ, 08540-5922, US
Phone (609) 243-0445
Fax (609) 452-7577
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number 25MA02778500
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According to our database, Iluminado Ortanez M.D. NPI is 1154415222, taxonomy code is 2084P0800X and license number is 25MA02778500, license state is located at New Jersey. Iluminado Ortanez M.D. physically located at 905 Herrontown Rd, Princeton NJ, 08540-1901. NPI Number Iluminado Ortanez M.D. has the Individual type.

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1154415222 NPI number is provided on an as is basis without warranty of any kind. 1154415222 is maintained by the National Plan & Provider Enumeration System. The contents of Iluminado Ortanez M.D. are for informational purposes only.