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Organization

NEW LIFE MEDICAL

Active
Parent organization
COLIN OTTEY MD, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLIN OTTEY MD, PC
Authorized official
COLIN CARLTON OTTEY MD (PRESIDENT/CEO)
(301) 773-6812
Entity
Organization

Contact information

Practice address
8601 MARTIN LUTHER KING JR HWY, LANHAM, MD 20706-1500
(301) 773-6812
Mailing address
8601 MARTIN LUTHER KING JR HWY, LANHAM, MD 20706-1500
(301) 773-6812

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
12/07/2007
Last updated
12/07/2007
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