Individual
DR. JAMES A OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1401
(508) 421-1490
Mailing address
281 LINCOLN ST, PROVIDER ENROLLMENT, WORCESTER, MA 01605-2371
(774) 366-9653
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57981
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047023A
—
MA
Enumeration date
04/07/2006
Last updated
07/08/2025
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