Individual provider · Type 1 NPI
Bryan Keith Oditt, APA-C
Medical Physician Assistant · New London, CT
NPI number
1023096237
Active
Practice location
15 Mohegan Ave
New London, CT 06320-8100
Fax (860) 444-8413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA11519 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | 001247 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1023096237
Bryan Keith Oditt, APA-C's National Provider Identifier is 1023096237, issued on Jan 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New London, CT. The record was last updated on Jan 22, 2025.