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Individual
WILLIAM OTT
Active
Individual
WILLIAM OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB72032
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020934001
AMERIHEALTH
NJ
01
—
2154007
UNITED HEALTHCARE
NJ
01
—
3217
AETNA
NJ
05
—
8660808
—
NJ
01
—
9717613003
CIGNA
NJ
01
—
K4960
HORIZON BC/BS
NJ
Enumeration date
07/27/2006
Last updated
03/20/2008
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