BRYAN KEITH ODITT

NEW LONDON, CT
NPI1023096237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  001247)
Enumeration Date2006-01-06
Last Update Date2007-07-08
Business Address
Mr. BRYAN KEITH ODITT APA-C
15 MOHEGAN AVE
NEW LONDON, CT 06320-8100
Phone number: 860-444-8207
Mailing Address
Mr. BRYAN KEITH ODITT APA-C
15 MOHEGAN AVE
NEW LONDON, CT 06320-8100
Phone number: 860-444-8207