Individual
JESSICA CATHERINE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
801 SPRUCE ST, SPRUCE BUILDING, SUITE 3E, PHILADELPHIA, PA 19107-5701
(215) 829-8484
(215) 829-8441
Mailing address
801 SPRUCE ST, STE. 3E, PHILADELPHIA, PA 19107-5701
(215) 829-8484
(215) 829-8441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS010021L
PA
Other
Enumeration date
07/17/2006
Last updated
11/01/2012
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