Dr. Otter Q Aspen, MD
Dermatology, MOHS-Micrographic Surgery in Rockaway, New Jersey
1356316020- Practice location
- 35 Green Pond RD, Rockaway, NJ 07866-2052
- Phone
- 973-625-0600
- Fax
- 973-625-3434
- Last updated
- July 21, 2022
Otter Quaking Aspen is a Dermatology, MOHS-Micrographic Surgery based in Rockaway, NJ. Otter Quaking Aspen practices in Rockaway, NJ and has the professional credentials of MD. The NPI Number for Otter Quaking Aspen is 1356316020 and holds a License No. 225819 (MA). The current practice location address for Otter Quaking Aspen is 35 Green Pond RD, Rockaway, NJ 07866-2052 and can be reached out via phone at 973-625-0600 and via fax at 973-625-3434.
Provider Profile Details
- NPI Number
- 1356316020
- Provider Name
- Otter Quaking Aspen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 35 Green Pond RD, Rockaway, NJ 07866-2052
- Phone Number
- 973-625-0600
- Fax Number
- 973-625-3434
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 17, 2006
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Green Pond RD
Rockaway, NJ 07866-2052 - City
- Rockaway
- State
- New Jersey
- Zip
- 07866-2052
- Phone Number
- 973-625-0600
- Fax Number
- 973-625-3434
Provider Business Mailing Address Details
- Address
- 35 Green Pond RD
Rockaway, NJ 07866-2052 - City
- Rockaway
- State
- NJ
- Zip
- 07866-2052
- Phone Number
- 973-625-0600
- Fax Number
- 973-625-3434
License Information
- License Number (1)
- 225819
- License State (1)
- MA
- Taxonomy (1)
- Dermatology · 207N00000X
- License Number (2)
- 25MA08902100
- License State (2)
- NJ
- Taxonomy (2)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, MOHS-Micrographic Surgery providers near Rockaway, NJ
View all Dermatology, MOHS-Micrographic Surgery providers in Rockaway →Frequently Asked Questions
What is the NPI number of Dr. Otter Q Aspen, MD?
The NPI number of Dr. Otter Q Aspen, MD is 1356316020. It was assigned on February 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Otter Q Aspen, MD?
Dr. Otter Q Aspen, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in MA under license number 225819.
Where does Dr. Otter Q Aspen, MD practice?
The practice location is 35 Green Pond RD, Rockaway, NJ 07866-2052. The office can be reached at 973-625-0600 (phone) or 973-625-3434 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356316020 directly on the NPPES registry website.