Individual
MARY C. OTTOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6711
(207) 662-6063
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19738
DC
208M00000X
Hospitalist Physician
MD22944
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061
CAREFIRST
DC
05
—
024354500
—
DC
05
—
1822411100
—
MD
05
—
6725961
—
VA
Enumeration date
10/11/2006
Last updated
05/21/2019
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