Organization
H. GREGORY OTA, M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H GREGORY OTA M.D. (PRESIDENT)
(781) 874-1965
Entity
Organization
Contact information
Practice address
101 MAIN ST, SUITE 216, MEDFORD, MA 02155-4540
(781) 874-1965
(781) 874-1967
Mailing address
101 MAIN ST, SUITE 216, MEDFORD, MA 02155-4540
(781) 874-1965
(781) 874-1967
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
54244
MA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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