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NPI Code Detail

MEDICARE: DR. ROBERT A OTTAVIANI MD

MEDICARE:  DR. ROBERT A OTTAVIANI  MD
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
1174400000XSpecialist200501551NC
2207X00000XOrthopaedic Surgery Physician2005-01551NC

General Provider Information

NPI Number : 1518934686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT A OTTAVIANI MD
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2808 MCLAMB PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1600
Country : US
Telephone Number : 919-736-2157
Fax Number : 919-580-0424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 08/09/2021

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Directions to “ DR. ROBERT A OTTAVIANI MD” Practice Location

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