Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE OTTO, M.D.
Active Sole ProprietorDR. NICOLE OTTO, M.D. is a Sports Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1306915335 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1306915335
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.744268792663 yrs)
- Last Updated
- Sep 9, 2009
- License
-
MD425787 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3535 MARKET STSUITE 100PHILADELPHIA, PA, 191043309Browse PA providers · Browse ZIP 19104
- Phone
- 2157463535
- Fax
- 2157461032
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER JON MEHALLO | D.O. | 1730103706 |
| BARRY E KENNEALLY | MD | 1629147558 |
| ROSEMARIE BOEHM | M.D. | 1598837700 |
| DR. JEREMY DAVID CLOSE | M.D. | 1114049566 |
| DR. DANIEL JOSEPH MORRISSY III | D.O. | 1013130020 |
| CORY J KELLER | D.O. | 1265649206 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.