Provider Demographics
NPI:1861476509
Name:OTT, FRANCIS JOSEPH JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:OTT
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 N MANOA RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3426
Mailing Address - Country:US
Mailing Address - Phone:610-449-6688
Mailing Address - Fax:
Practice Address - Street 1:18 N MANOA RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3426
Practice Address - Country:US
Practice Address - Phone:610-449-6688
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001728L213E00000X
NJ25M000107100213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ454823Medicare ID - Type Unspecified
T29459Medicare UPIN
PA134875Medicare ID - Type Unspecified