| Ot Family Medicine | |
|
10339 Southern Maryland Blvd Ste 206 Dunkirk MD 20754-3018 | |
| (443) 646-3532 | |
| (404) 480-3984 |
| Full Name | Ot Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 10339 Southern Maryland Blvd Ste 206, Dunkirk, Maryland |
| Authorized Official Name and Position | Immirne Monet Ouwinga (PHYSICIAN) |
| Authorized Official Contact | 7187912223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ot Family Medicine 3307 Ferry Landing Rd Dunkirk MD 20754-9647 Ph: (718) 791-2223 | Ot Family Medicine 10339 Southern Maryland Blvd Ste 206 Dunkirk MD 20754-3018 Ph: (443) 646-3532 |
| NPI Number | 1861849051 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861849051 | NPI | - | NPPES |
| 424573300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0078131 (Maryland) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Brightseat Health Baltimore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2972 Penwick Ln, Dunkirk, MD 20754 Phone: 301-423-4551 | |
Dunkirk Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10020 Southern Maryland Blvd, Suite 202, Dunkirk, MD 20754 Phone: 410-286-3335 Fax: 410-286-0383 | |
Ksa Youth Foundation Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10351 Southern Maryland Blvd Ste 101, Dunkirk, MD 20754 Phone: 240-766-4194 Fax: 301-485-0363 |