Individual
GERALD VINCENT OTTENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 LEPHILLIP CT., NE, SUITE 201, CONCORD, NC 28025-2977
(704) 786-0214
(704) 788-2379
Mailing address
212 LEPHILLIP CT., NE, SUITE 201, CONCORD, NC 28025-2977
(704) 786-0214
(704) 788-2379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8964371
—
NC
Enumeration date
03/21/2006
Last updated
11/01/2007
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