Individual
ALLEN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 HAMPTON RD, SOUTHAMPTON, NY 11968-3004
(631) 283-0918
Mailing address
595 HAMPTON RD, SOUTHAMPTON, NY 11968-3004
(631) 283-0918
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
165369
NY
207VG0400X
Gynecology Physician
165369
NY
207VX0000X
Obstetrics Physician
165369
NY
Other
Enumeration date
11/01/2006
Last updated
08/31/2009
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