Doctor Name: | EDDY O. ORTEGA |
NPI Number: | 1104967520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05943600 |
Business Practice Address: | 301 Spring Garden Rd Hammonton, NJ - 080372516 |
Business Phone Number: | 6096511700 |
Business Fax Number: | |
Mailing Address: | 1604 47th St, PENNSAUKEN |
State: | NJ |
Postal Code: | 081104138 |
Phone Number: | 6095611700 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 25MA05943600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |