Russell R Otto, P.A.
NPI #1346264215 in Waterford, Connecticut
Provider Information
- NPI Number
- 1346264215
- Entity Type
- Individual
- Name
- Russell R Otto, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 201 BOSTON POST RD
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385
- Phone
- (860) 442-0407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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