Doctor Name: | MR. JORGE ENRIQUE MOTTA |
NPI Number: | 1184062242 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35.036274 |
Business Practice Address: | 12268 Church Rd Orrville, OH - 446679623 |
Business Phone Number: | 3306836460 |
Business Fax Number: | |
Mailing Address: | 12268 Church Rd, ORRVILLE |
State: | OH |
Postal Code: | 44667 |
Phone Number: | 3306836460 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 35.036274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |