Individual
DR. ALLISON DAWN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 MIDDLETOWN BLVD, SUITE 306 PENNS SQUARE, LANGHORNE, PA 19047-1897
(215) 269-3330
(215) 269-3355
Mailing address
404 MIDDLETOWN BLVD, SUITE 306 PENNS SQUARE, LANGHORNE, PA 19047-1897
(215) 269-3330
(215) 269-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD421737
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001467413
BLUE SHIELD
PA
05
—
1014516710001
—
PA
01
—
1113353
USHC
PA
01
—
233044033
TAX ID
PA
01
—
K7691
HORIZON
PA
Enumeration date
07/07/2006
Last updated
06/18/2021
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