Individual
DR. TAYLOR D OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2942
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
000000
MA
Other
Enumeration date
03/22/2021
Last updated
09/18/2021
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