Provider Demographics
NPI:1992807382
Name:ESPINELI, DINO ORTIZ (MD)
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:ORTIZ
Last Name:ESPINELI
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 1:20 MITCHELL DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:732-604-2671
Mailing Address - Fax:
Practice Address - Street 1:1163 ROUTE 37 W
Practice Address - Street 2:SUITE D4
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4973
Practice Address - Country:US
Practice Address - Phone:732-341-9494
Practice Address - Fax:732-341-3416
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08129600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine