Provider Demographics
NPI:1306890512
Name:OROZCO, FABIO RAMIRO (MD)
Entity type:Individual
Prefix:
First Name:FABIO
Middle Name:RAMIRO
Last Name:OROZCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 NEW RD STE B
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1060
Mailing Address - Country:US
Mailing Address - Phone:609-300-7779
Mailing Address - Fax:833-905-2603
Practice Address - Street 1:1999 NEW RD STE B
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1060
Practice Address - Country:US
Practice Address - Phone:609-300-7779
Practice Address - Fax:833-905-2603
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424323207X00000X
NJ25MA08019000207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2726082000OtherIBC NJ
PA2421962000OtherIBC
NJ1197302OtherAETNA
1934953OtherCIGNA
PA3981468OtherAETNA
PA2421962000OtherIBC PA
PA2421962000OtherIBC
I40605Medicare UPIN
NJ102039PFCMedicare PIN
NJP00339151Medicare PIN