Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN OTIS, MD
ActiveJUSTIN OTIS, MD is a 2084B0040X healthcare provider located in BANGOR, Maine. NPI 1962817619 is currently active in the NPPES registry. Verify at CMS.
2084B0040X · BANGOR, ME
Registration Details
- NPI Number
- 1962817619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2014 (12.192898209719 yrs)
- Last Updated
- Feb 24, 2023
- Licenses
-
MD-48057 (IA)CDRH.0060526 (CO)404-320 (WI)404 (WI)404-320 (WI)
Practice Information
- Address
-
268 STILLWATER AVEBANGOR, ME, 044013945Browse ME providers · Browse ZIP 04401
- Phone
- 2079736100
- Primary Specialty
-
2084B0040X
2084B0040X
- Additional Specialty
- 2084B0040X
- Additional Specialty
- 2084B0040X
- Additional Specialty
- Neurology
- Additional Specialty
- Psychiatry
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.