Individual
MARY JANE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-4033
Mailing address
111 CYPRESS ST, NEWTON CENTRE, MA 02459-2225
(617) 527-1812
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
MA193644
MA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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