# THOMAS A OTTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346240876
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C10008890 | DE | Yes |

## Other

- **Enumeration date:** 07/27/2005
- **Last updated:** 02/15/2019

## 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 | — |