Individual
DR. CHIOMA OTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1445
(215) 612-2691
Mailing address
3998 RED LION RD, PHILADELPHIA, PA 19114-1445
(215) 612-2691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OTO12845
PA
207R00000X
Internal Medicine Physician
OTO12845
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTO12845
—
PA
Enumeration date
07/13/2009
Last updated
01/13/2022
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