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Organization

JAMES OTTO, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN HAGEN (BILLING MANAGER)
(410) 203-2882
Entity
Organization

Contact information

Practice address
8835 COLUMBIA 100 PARKWAY, SUITE N, COLUMBIA, MD 21045-2147
(410) 997-0909
(410) 997-0504
Mailing address
3734 GARAND RD., ELLICOTT CITY, MD 21042
(410) 465-6186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D39178
MD

Other

Enumeration date
10/22/2007
Last updated
11/19/2007
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