Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD454740 | PA |
N | 208000000X | Pediatrician | 267303 | NY |
NPI | 1811277130 |
---|---|
Provider Name | Damara Ortiz |
First Address | Pittsburgh, PA 15224-1719 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2011 |
Last Update Date | 03/06/2021 |