Provider Demographics
NPI:1407875313
Name:OTTOLINI, MARTIN GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:GERARD
Last Name:OTTOLINI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5600 GRIFFITH RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2025
Mailing Address - Country:US
Mailing Address - Phone:301-295-3665
Mailing Address - Fax:301-295-1812
Practice Address - Street 1:4301 JONES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4712
Practice Address - Country:US
Practice Address - Phone:301-295-3665
Practice Address - Fax:301-295-1812
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2013-02-05
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Provider Licenses
StateLicense IDTaxonomies
MI4301405308-10368592080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases