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Individual

MATTHEW D OTTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
1172 W MAIN ST, STROUDSBURG, PA 18360-1323
(570) 424-6187
Mailing address
1165 QUAIL RD, KUNKLETOWN, PA 18058-7183
(484) 515-1432

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020730
PA

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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