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NPI Code Detail

MEDICARE: MR. SEAN C OTT VMD

MEDICARE: MR. SEAN C OTT VMD
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
1174M00000XVeterinarianBV010451PA

General Provider Information

NPI Number : 1992640338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN C OTT VMD
Provider Business Mailing Address
First Line : 117 TERRACE DR
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-7510
Country : US
Telephone Number : 570-424-6773
Fax Number :
Provider Business Practice Location Address
First Line : 117 TERRACE DR
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-7510
Country : US
Telephone Number : 570-424-6773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ MR. SEAN C OTT VMD” Practice Location

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