Individual
DR. HANS C OETTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6117
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6117
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
72308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122880
—
MA
Enumeration date
10/04/2006
Last updated
08/16/2007
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