Organization
SUSAN E OTERO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. PABLO OTERO (PRACTICE ADMINISTRATOR)
(202) 785-4298
Entity
Organization
Contact information
Practice address
1145 19TH ST NW, SUITE 717, WASHINGTON, DC 20036-3701
(202) 785-4298
(202) 785-1370
Mailing address
PO BOX 33548, WASHINGTON, DC 20033-0548
(202) 785-4298
(202) 785-1370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14270
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3132
MEDICARE RR
DC
Enumeration date
01/23/2007
Last updated
06/11/2008
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