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Contact Information

ELLEN E URRUTIA, MD
946 BLOOMFIELD AVENUE
GLEN RIDGE, NJ07028
 Phone: 973-743-1121
 Fax: 973-743-2627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELLEN E URRUTIA · (Female)

NPI # 1629046388
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 11/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06255200
  • NJ Medicaid 5131103
Hospital affiliation(s)
  • CLARA MAASS MEDICAL CENTER - (Acute Care)
    ONE CLARA MAAS DRIVE
    BELLEVILLE, NJ 07109
  • ENGLEWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 ENGLE ST
    ENGLEWOOD, NJ 07631
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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