person
Mr. Bryan Keith Oditt, APA-C
Medical Physician Assistant in New London, Connecticut
NPI 1023096237

Bryan Keith Oditt is a Medical Physician Assistant based in New London, CT and is specialized in Medical. Bryan Keith Oditt practices in New London, CT and has the professional credentials of APA-C. The NPI Number for Bryan Keith Oditt is 1023096237 and holds a License No. 001247 (Connecticut).

The current practice location address for Bryan Keith Oditt is 15 Mohegan Ave, New London, CT and can be reached out via phone at 860-444-8207 and via fax at 860-444-8413.

Location: 15 Mohegan Ave, New London, CT, 06320-8100
person
Provider Profile Details
NPI Number
1023096237
Provider Name
Bryan Keith Oditt
Credential
APA-C
Provider Entity Type
Individual
Gender
Male
Address
15 Mohegan Ave, New London, CT, 06320-8100
Phone Number
860-444-8207
Fax Number
860-444-8413
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15 Mohegan Ave
City
State
Zip
06320-8100
Phone Number
860-444-8207
Fax Number
860-444-8413
person
Provider Business Mailing Address Details
Address
15 Mohegan Ave
City
State
Zip
06320-8100
Phone Number
860-444-8207
Fax Number
860-444-8413
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001247 (Connecticut)
Definition
Definition to come...
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