Otero, Susan E.

Otero, Susan E. is an individual health care provider with primary practice located at 251 Little Falls Dr , Wilmington DE 19808-1674. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Otero, Susan E. can be contacted via phone (310) 445-5999.

Contact Information

Primary practice address
251 Little Falls Dr Wilmington DE 19808-1674
Phone: (310) 445-5999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD14270 District of Columbia
Allopathic & Osteopathic Physicians / General Practice 208D00000X C1-0025325 Delaware

Profile Details

NPI number 1205997244
LBN Legal business name Otero, Susan E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205997244 NPPES
Maryland MEDICAID 528271300
Maryland MEDICAID 25544400

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