Individual
DR. DAVID MARK OTTERBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 1ST AVE # TCH169, NEW YORK, NY 10016-6402
(212) 263-8279
(212) 263-3279
Mailing address
560 1ST AVE # TCH169, NEW YORK, NY 10016-6402
(212) 263-8279
(212) 263-3279
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
257612
NY
208200000X
Plastic Surgery Physician
59579
GA
208600000X
Surgery Physician
59579
GA
Other
Enumeration date
12/16/2007
Last updated
12/19/2011
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