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Individual

SUSAN E. OTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
251 LITTLE FALLS DR, WILMINGTON, DE 19808-1674
(310) 445-5999
Mailing address
3746 FOOTHILL BLVD STE B140, GLENDALE, CA 91214-1740
(310) 445-5999

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD14270
DC
208D00000X
General Practice Physician
Primary
C1-0025325
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25544400
DC
05
528271300
MD
Enumeration date
12/13/2006
Last updated
05/25/2023
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