Individual
DR. JOSEPH A. OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
264 S LIBERTY ST, POWELL, OH 43065-7616
(614) 885-7337
(614) 885-0057
Mailing address
264 S LIBERTY ST, POWELL, OH 43065-7616
(614) 885-7337
(614) 885-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35057331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805089
—
OH
Enumeration date
12/04/2006
Last updated
01/05/2022
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