Individual
WILLIAM OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-0500
(856) 223-0966
Mailing address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-0500
(856) 223-0966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB72032
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020934001
AMERIHEALTH
NJ
01
—
2154007
UNITED HEALTHCARE
NJ
01
—
3217
AETNA
NJ
05
—
8660808
—
NJ
01
—
9717613003
CIGNA
NJ
01
—
K4960
HORIZON BC/BS
NJ
Enumeration date
07/27/2006
Last updated
03/20/2008
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