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Individual

CRYSTAL MARIE OTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
1021 MAIN ST, RIVER EDGE, NJ 07661-2011
(201) 291-0550
(201) 488-7900
Mailing address
1021 MAIN ST, RIVER EDGE, NJ 07661-2011
(201) 291-0550
(201) 488-7900

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00133000
NJ

Other

Enumeration date
04/21/2017
Last updated
04/21/2017
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