H. Gregory Ota, M.d., P.c

NPI 1033491766 - Clinic/Center - 261QM2500X

NPI Details
NPI 1033491766
Enumeration Date 09/20/2011
Last Updated 09/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name H GREGORY H
Position PRESIDENT
Phone (781) 874-1965
Fax (781) 874-1967
Practice Location
101 MAIN ST
SUITE 216
MEDFORD MA, 02155-4540, US
Phone (781) 874-1965
Fax (781) 874-1967
Business Location
101 MAIN ST
SUITE 216
MEDFORD MA, 02155-4540, US
Phone (781) 874-1965
Fax (781) 874-1967
Toxanomy
Taxonomy Code 261QM2500X
License State Massachusetts
License Number 54244
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According to our database, H. Gregory Ota, M.d., P.c NPI is 1033491766, taxonomy code is 261QM2500X and license number is 54244, license state is located at Massachusetts. H. Gregory Ota, M.d., P.c physically located at 101 Main St, Medford MA, 02155-4540. NPI Number 1033115704 has the healthcare provider type.

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1033491766 NPI number is provided on an as is basis without warranty of any kind. 1033491766 is maintained by the National Plan & Provider Enumeration System. The contents of H. Gregory Ota, M.d., P.c are for informational purposes only.