Otovic, Nancy E

Otovic, Nancy E is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Otovic, Nancy E can be contacted via phone (781) 744-5000.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Fax: (781) 744-5215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157767 Massachusetts

Profile Details

NPI number 1134138555
LBN Legal business name Otovic, Nancy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1134138555 NPPES
Massachusetts MEDICAID 3189431

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