Individual
JOHN OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 W MAIN ST, MENDHAM, NJ 07945-1257
(973) 543-2961
Mailing address
4002 GOUVERNEUR AVE, APT J12, BRONX, NY 10463-2936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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