Individual
DAVID OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13473 BONAIR RD, GLEN ROCK, PA 17327-8229
(410) 303-5023
Mailing address
13473 BONAIR RD, GLEN ROCK, PA 17327-8229
(410) 303-5023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R183911
MD
163W00000X
Registered Nurse
RN65455
ME
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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