Individual
OLAF JOHAN OGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 HALLS RD, OLD LYME, CT 06371-0046
(860) 434-9400
Mailing address
PO BOX 46, OLD LYME, CT 06371-0046
(860) 434-9400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21809
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C007336
CHAMPUS
—
Enumeration date
02/26/2007
Last updated
07/08/2007
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