# J. A. OTTAVIANO M. D. INC.

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

## Provider details

- **NPI number:** 1891975074
- **Authorized official:** DR. JOSEPH A. OTTAVIANO M. D. (PRESIDENT)
- **Authorized official phone:** (614) 885-7337

## Contact information

- **Practice address:** 264 S LIBERTY ST, POWELL, OH 43065-7616
- **Practice address phone:** (614) 885-7337
- **Practice address fax:** (614) 885-0057
- **Mailing address:** 264 S LIBERTY ST, POWELL, OH 43065-7616
- **Mailing address phone:** (614) 885-7337
- **Mailing address fax:** (614) 885-0057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35057331 | OH | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 12/17/2007