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Organization
TIMOTHY T. OTT, D.O. AND ASSOCIATES, P.C.
Active
Organization
TIMOTHY T. OTT, D.O. AND ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRYSTAL P. OTT (PRACTICE MANAGER)
(412) 276-3050
Entity
Organization
Contact information
Practice address
1145 BOWER HILL RD, SUITE 204, PITTSBURGH, PA 15243-1342
(412) 276-3050
(412) 276-5393
Mailing address
1145 BOWER HILL RD, SUITE 204, PITTSBURGH, PA 15243-1342
(412) 276-3050
(412) 276-5393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1537261
BLUE SHIELD GROUP NUMBER
PA
01
—
DA5202
RR MEDICARE GROUP NUMBER
PA
Enumeration date
06/12/2007
Last updated
08/22/2008
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