Healthcare Provider Details

I. General information

NPI: 1275644700
Provider Name (Legal Business Name): CHERYL D. ORTEL, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 CYNWOOD DR SUITE 103
EASTON MD
21601-3805
US

IV. Provider business mailing address

598 CYNWOOD DR SUITE 103
EASTON MD
21601-3805
US

V. Phone/Fax

Practice location:
  • Phone: 410-820-7040
  • Fax: 410-820-9268
Mailing address:
  • Phone: 410-820-7040
  • Fax: 410-820-9268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL D ORTEL
Title or Position: OWNER
Credential: M.D.
Phone: 410-820-7040