Individual
DR. TRACEY SOPHIA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-5979
(508) 334-5232
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
293470
MA
207R00000X
Internal Medicine Physician
293470
MA
Other
Enumeration date
06/07/2022
Last updated
07/31/2024
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