Provider Demographics
NPI:1851398390
Name:OERTEL, HORST (CP)
Entity Type:Individual
Prefix:MR
First Name:HORST
Middle Name:
Last Name:OERTEL
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:OERTEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MANAGER
Mailing Address - Street 1:916 SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6305
Mailing Address - Country:US
Mailing Address - Phone:908-757-2702
Mailing Address - Fax:908-757-0744
Practice Address - Street 1:916 SOMERSET ST
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6305
Practice Address - Country:US
Practice Address - Phone:908-757-2702
Practice Address - Fax:908-757-0744
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCP7631744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management