Organization
COLIN OTTEY MD, PC
Active
Other names
New Life Medical
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN CARLTON OTTEY MD (CEO/PRESIDENT)
(301) 773-6812
Entity
Organization
Contact information
Practice address
8601 MARTIN LUTHER KING JR HWY, SUITE 2, LANHAM, MD 20706-1500
(301) 773-6812
Mailing address
8601 MARTIN LUTHER KING JR HWY, SUITE 2, LANHAM, MD 20706-1500
(301) 773-6812
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D52294
MD
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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