ALAN OLSON

BRIDGEPORT, CT
NPI1033495684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  002643)
Enumeration Date2011-10-27
Last Update Date2011-10-27
Business Address
-- ALAN OLSON
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
Mailing Address
-- ALAN OLSON
77 CHESTNUT DR
DERBY, CT 06418-2310
Phone number: