RUSSELL OTTO, P.A.
Physician Assistant
Active
Individual
NPI: 1346264215
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 004505 (CT) |
Frequently Asked Questions
NPI 1346264215 is the National Provider Identifier for RUSSELL OTTO, P.A., a Physician Assistant provider located in Waterford, CT. This NPI was enumerated on July 26, 2006.
RUSSELL OTTO, P.A. practices at 201 BOSTON POST RD, Waterford, CT 06385.
Quick Facts
- NPI
- 1346264215
- Type
- Individual
- Enumerated
- Jul 26, 2006
- Last Updated
- Oct 29, 2019
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