Individual
DR. JOSE MIGUEL OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5204
Mailing address
60 MOUNT PROSPECT AVE, BELLEVILLE, NJ 07109-2078
(201) 755-2235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09833100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2012
Last updated
07/21/2022
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