Individual
CONCEPCION CABANTAC OCHOTORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335 BROAD ST, MANCHESTER, CT 06040-4036
(860) 643-3200
(860) 643-3201
Mailing address
28 BANCROFT LN, SOUTH WINDSOR, CT 06074-2463
(231) 880-3894
(860) 291-9506
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
035190
CT
Other
Enumeration date
12/01/2006
Last updated
03/02/2012
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