Healthcare Provider Details
I. General information
NPI: 1841061157
Provider Name (Legal Business Name): ORA BILLING MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 HILL ST APT 22B
NEWARK NJ
07102-5644
US
IV. Provider business mailing address
10 HILL ST APT 22B
NEWARK NJ
07102-5644
US
V. Phone/Fax
- Phone: 786-325-4003
- Fax:
- Phone: 786-325-4003
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OSCAR
ABAUNZA
Title or Position: MANAGING MEMBER/ OFFICER
Credential:
Phone: 786-325-4003