# JAMES OTTO, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730378142
- **Authorized official:** ELLEN HAGEN (BILLING MANAGER)
- **Authorized official phone:** (410) 203-2882

## Contact information

- **Practice address:** 8835 COLUMBIA 100 PARKWAY, SUITE N, COLUMBIA, MD 21045-2147
- **Practice address phone:** (410) 997-0909
- **Practice address fax:** (410) 997-0504
- **Mailing address:** 3734 GARAND RD., ELLICOTT CITY, MD 21042
- **Mailing address phone:** (410) 465-6186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D39178 | MD | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 11/19/2007