IndividualActive
Justin Otis, MD
NPI 1962817619 · Behavioral Neurology & Neuropsychiatry Physician · Bangor, ME
Provider details
- NPI number
- 1962817619
- Entity type
- Individual
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-48057 (IA)
Mailing address
268 Stillwater Ave
Bangor, ME 04401-3945
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.