RUSSELL R OTTO

WATERFORD, CT
NPI1346264215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  004505)
Enumeration Date2006-07-26
Last Update Date2019-10-29
Business Address
RUSSELL R OTTO P.A.
201 BOSTON POST RD
WATERFORD, CT 06385
Phone number: 860-442-0407
Mailing Address
RUSSELL R OTTO P.A.
201 BOSTON POST RD
WATERFORD, CT 06385-2805
Phone number: 860-442-0407