| Vincent Ortolano Md Pc | |
|
8120 Constitution Pl Ne Suite 220 Albuquerque NM 87110-7625 | |
| (505) 294-6979 | |
| (505) 294-6986 |
| Full Name | Vincent Ortolano Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 8120 Constitution Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Vincent Ortolano (PHYSICIAN) |
| Authorized Official Contact | 5052946979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Ortolano Md Pc 8120 Constitution Pl Ne Suite 220 Albuquerque NM 87110-7625 Ph: (505) 294-6979 | Vincent Ortolano Md Pc 8120 Constitution Pl Ne Suite 220 Albuquerque NM 87110-7625 Ph: (505) 294-6979 |
| NPI Number | 1649451527 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649451527 | NPI | - | NPPES |
| E3072 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 92114 (New Mexico) | Primary |
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