William John Oetgen M.D.

NPI 1073674925 - Specialist - 174400000X

NPI Details
NPI 1073674925
Gender Male
Enumeration Date 12/13/2006
Last Updated 04/02/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
12070 OLD LINE CTR
SUITE 100
WALDORF MD, 20602-2513, US
Phone (301) 705-7870
Fax (301) 705-9622
Business Location
647 FIRST ST
ALEXANDRIA VA, 22314-1511, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Maryland
License Number D0016129
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According to our database, William John Oetgen M.D. NPI is 1073674925, taxonomy code is 174400000X and license number is D0016129, license state is located at Maryland. William John Oetgen M.D. physically located at 12070 Old Line Ctr, Waldorf MD, 20602-2513. NPI Number William John Oetgen M.D. has the Individual type.

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1073674925 NPI number is provided on an as is basis without warranty of any kind. 1073674925 is maintained by the National Plan & Provider Enumeration System. The contents of William John Oetgen M.D. are for informational purposes only.