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NPI Code Detail

MEDICARE: JOSEPH L OTT M.D.

MEDICARE: JOSEPH L OTT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35.094645OH

General Provider Information

NPI Number : 1477725729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH L OTT M.D.
Provider Business Mailing Address
First Line : 1522 CLAREMONT AVE
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3533
Country : US
Telephone Number : 419-207-1085
Fax Number :
Provider Business Practice Location Address
First Line : 1522 CLAREMONT AVE
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3533
Country : US
Telephone Number : 419-207-1085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2008
Last Update Date : 11/12/2015

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Directions to “ JOSEPH L OTT M.D.” Practice Location

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