Individual
DR. DAVID HARDISON OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 HOOPER ST, WISCASSET, ME 04578-4053
(207) 882-7911
Mailing address
309 W 106TH ST, APT 1C, NEW YORK, NY 10025-3484
(917) 647-9828
(718) 784-0240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228128
NY
207R00000X
Internal Medicine Physician
Primary
MD26136
ME
Other
Enumeration date
08/24/2006
Last updated
08/16/2024
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