Individual
DR. JORGE ENRIQUE OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-6205
Mailing address
22 TURTLE BAY DR, BRANFORD, CT 06405-4970
(203) 214-8360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034599
CT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
034599
CT
207R00000X
Internal Medicine Physician
034599
CT
Other
Enumeration date
04/27/2006
Last updated
01/21/2021
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