Individual
DR. ANROY KESTON OTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2450
Mailing address
52 PROSPECT ST, EAST ORANGE, NJ 07017-2359
(917) 865-4102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08237800
NJ
Other
Enumeration date
05/02/2007
Last updated
11/30/2007
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