Individual
DR. ROGER JOSEPH BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 WOODCREEK RD, BETHLEHEM, CT 06751-1705
(203) 266-5021
Mailing address
12 WOODCREEK RD, BETHLEHEM, CT 06751-1705
(203) 266-5021
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CT15003
CT
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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