Ortolano, Susan

Ortolano, Susan is an sole proprietor health care provider with primary practice located at 1930 S Broad St Unit 5, Philadelphia PA 19145-2328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ortolano, Susan can be contacted via phone (215) 567-5870.

Contact Information

Primary practice address
1930 S Broad St Unit 5 Philadelphia PA 19145-2328
Phone: (215) 567-5870
Fax: (215) 467-5873
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-065232-L Pennsylvania

Profile Details

NPI number 1083634992
LBN Legal business name Ortolano, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 16th, 2012 - about 14 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 1083634992 NPPES
Pennsylvania MEDICAID 001751871

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