Martinez Outschoorn, Ubaldo Emilio
Martinez Outschoorn, Ubaldo Emilio is an individual health care provider with primary practice located at 925 Chestnut St Suite 320A, Philadelphia PA 19107-4216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Martinez Outschoorn, Ubaldo Emilio can be contacted via phone (215) 955-8874.Contact Information
Primary practice address
925 Chestnut St Suite 320A
Philadelphia PA 19107-4216
Phone: (215) 955-8874
Fax: (215) 955-2340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT182097 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD430368 | Pennsylvania |
Profile Details
| NPI number | 1801004106 |
|---|---|
| LBN Legal business name | Martinez Outschoorn, Ubaldo Emilio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Dec 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801004106 | NPPES |
| New Jersey | MEDICAID | 0233790 | |
| New Jersey | MEDICAID | 102481441 |
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