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Individual

BRIAN R OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, APC 6, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
1 HOPPIN ST, SUITE 318, PROVIDENCE, RI 02903-4141
(401) 793-8382
(401) 793-8312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD05819
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD05819
RI
2084N0400X
Neurology Physician
Primary
MD05819
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9006551
RI
Enumeration date
06/23/2006
Last updated
03/03/2016
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