Provider Demographics
NPI:1932205655
Name:OTTOWITZ, WILLIAM E III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:OTTOWITZ
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1041 MARKET ST # 441
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7233
Mailing Address - Country:US
Mailing Address - Phone:619-900-8349
Mailing Address - Fax:212-362-3546
Practice Address - Street 1:1464 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-5540
Practice Address - Country:US
Practice Address - Phone:401-333-3810
Practice Address - Fax:401-333-1675
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-06-30
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Provider Licenses
StateLicense IDTaxonomies
RIMD101592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H58777Medicare UPIN