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NPI Profile for JUSTIN OTIS in BANGOR, ME.
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X | |||
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1962817619 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/20/2014 | |
| Last updated | 02/24/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JUSTIN OTIS
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JUSTIN OTIS, MD