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Individual
THOMAS A OTTER
Active
Individual
THOMAS A OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C10008890
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346240876
CREENAGHT HEALTH PLAN
—
05
—
1346240876
—
DE
01
—
264933
UNISON HEALTH PLAN
—
01
—
3692762000
AMERIHEALTH
DE
01
—
4056337
AETNA US HEALTHCARE
DE
01
—
510370286
DEVON HEALTH SERVICES
DE
01
—
510370286
UNION LABOR LIFE INSURANCE COMPANY
—
01
—
P00712879
RAILROAD MEDICARE
—
Enumeration date
07/27/2005
Last updated
02/15/2019
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