Juan Carlos Ortega

NPI 1053655159 - Psychologist - 103TS0200X

NPI Details
NPI 1053655159
Gender Male
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
800 CUMMINGS CTR
SUITE 360 U
BEVERLY MA, 01915-6175, US
Phone (978) 201-1066
Fax
Business Location
800 CUMMINGS CTR
SUITE 360 U
BEVERLY MA, 01915-6175, US
Phone (978) 201-1066
Fax
Toxanomy
Taxonomy Code 103TS0200X
License State Minnesota
License Number 450953
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According to our database, Mr. Juan Carlos Ortega NPI is 1053655159, taxonomy code is 103TS0200X and license number is 450953, license state is located at Minnesota. Juan Carlos Ortega physically located at 800 Cummings Ctr, Beverly MA, 01915-6175. NPI Number Juan Carlos Ortega has the Individual type.

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1053655159 NPI number is provided on an as is basis without warranty of any kind. 1053655159 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Carlos Ortega are for informational purposes only.