Individual
DR. YVONNE LYNN OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9103 FRANKLING SQUARE DRIVE, ROSEDALE, MD 21236
(443) 777-7147
(443) 777-8405
Mailing address
109 LONGWOOD RD, BALTIMORE, MD 21210-2119
(410) 464-1658
(443) 777-8405
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD482883
PA
207RX0202X
Medical Oncology Physician
D40850
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776471500
—
MD
01
—
D40850
MD STATE LICENSE
MD
Enumeration date
12/22/2006
Last updated
10/25/2023
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