| NPI Details | |
|---|---|
| NPI | 1063447415 |
| Gender | Male |
| Enumeration Date | 07/12/2006 |
| Last Updated | 03/14/2013 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 680 CENTRE ST BROCKTON MA, 02302-3308, US |
|
| Phone | (508) 941-7400 |
| Fax | (508) 941-6200 |
| Business Location | |
|---|---|
| 680 CENTRE ST BROCKTON MA, 02302-3308, US |
|
| Phone | (508) 941-7400 |
| Fax | (508) 941-6200 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207P00000X |
| License State | Massachusetts |
| License Number | 78720 |
| Remove 1063447415 NPI Number | |
According to our database, Luis E. Ortiz M.D. NPI is 1063447415, taxonomy code is 207P00000X and license number is 78720, license state is located at Massachusetts. Luis E. Ortiz M.D. physically located at 680 Centre St, Brockton MA, 02302-3308. NPI Number Luis E. Ortiz M.D. has the Individual type.
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1063447415 NPI number is provided on an as is basis without warranty of any kind. 1063447415 is maintained by the National Plan & Provider Enumeration System. The contents of Luis E. Ortiz M.D. are for informational purposes only.
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