31D2167776 CLIA NUMBER - GUILLERMO ORTIZ, MD

Laboratory Demographics

CLIA Number: 31D2167776

Facility Name: GUILLERMO ORTIZ, MD

Facility Address:
249 SOUTH MAIN STREET
WHARTON, NJ
ZIP 07885
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Facility Phone Number: 973 361-5252

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407828445

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	31D2167776
LAB Type	Physician Office
Facility Name	GUILLERMO ORTIZ, MD
Street	249 SOUTH MAIN STREET
City	WHARTON
State	NJ
ZIP	07885
Phone	973 361-5252
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024