Ortega, Mario R.

Ortega, Mario R. is an individual health care provider with primary practice located at 10901 Connecticut Ave Ste. 100, Kensington MD 20895-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ortega, Mario R. can be contacted via phone (240) 290-1041.

Contact Information

Primary practice address
10901 Connecticut Ave Ste. 100 Kensington MD 20895-1645
Phone: (240) 290-1041
Fax: (240) 290-1045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D14533 Maryland

Profile Details

NPI number 1679548325
LBN Legal business name Ortega, Mario R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 17th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679548325 NPPES
Maryland MEDICAID 213221400

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