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Individual

DR. ROBERT OTTENRITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 N CHARLES ST, PHYSICIANS PAVILION EAST SUITE 212, TOWSON, MD 21204-6800
(410) 823-1120
(410) 296-9009
Mailing address
6565 N CHARLES ST, PHYSICIANS PAVILION EAST SUITE 212, TOWSON, MD 21204-6800
(410) 823-1120
(410) 296-9009

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D31272
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12276
AETNA GROUP 122773
MD
01
252179
MAMSI MDIPA OPT CHOICE
MD
01
4141363
AETNA NON HMO
MD
01
KC24
BCBS
MD
01
W3870004
BCBS FEDERAL NTL BLUE CHO
MD
Enumeration date
01/15/2007
Last updated
07/08/2007
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