Individual
DR. OTIS ALTON BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 MADISON AVE FL 8, NEW YORK, NY 10022-5822
(212) 658-1122
(212) 826-4107
Mailing address
485 MADISON AVE FL 8, NEW YORK, NY 10022-5822
(212) 658-1122
(212) 826-4107
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60-195986
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
60-195986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01626360
—
NY
01
—
P410428
OXFORD
—
Enumeration date
01/23/2007
Last updated
09/19/2017
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