Individual
DR. OTTER QUAKING ASPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 GREEN POND RD, ROCKAWAY, NJ 07866-2052
(973) 625-0600
(973) 625-3434
Mailing address
35 GREEN POND RD, ROCKAWAY, NJ 07866-2052
(973) 625-0600
(973) 625-3434
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
225819
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25MA08902100
NJ
Other
Enumeration date
02/17/2006
Last updated
07/21/2022
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