Individual
EDRESS OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-3000
(508) 973-3119
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
254703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508916792
—
MA
Enumeration date
01/11/2007
Last updated
04/23/2020
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