Individual
OTIBHOR IGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7670 QUARTERFIELD RD, GLEN BURNIE, MD 21061-3947
(410) 508-7650
Mailing address
7811 SILVER MOON CT, SEVERN, MD 21144-3167
(443) 834-0621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101267165
VA
207Q00000X
Family Medicine Physician
Primary
D87115
MD
Other
Enumeration date
06/23/2015
Last updated
05/25/2022
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