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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