Individual provider · Type 1 NPI
Roger Joseph Branson, MD
General Practice Physician · Bethlehem, CT
NPI number
1093071631
Active
Practice location
12 Woodcreek Rd
Bethlehem, CT 06751-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | CT15003 (CT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1093071631
Roger Joseph Branson, MD's National Provider Identifier is 1093071631, issued on Apr 9, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bethlehem, CT. The record was last updated on Apr 9, 2012.