Individual
LETICIA OTCHERE-DARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST # ST3, NEW HAVEN, CT 06510-3206
(037) 852-8022
(203) 785-6664
Mailing address
333 CEDAR ST # ST3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(037) 856-6642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19912
MS
207L00000X
Anesthesiology Physician
66819
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08087069
—
MS
05
—
179012
—
AL
01
—
P00657496
RAILROAD MEDICARE
MS
01
—
P01402440
RR MEDICARE
MS
Enumeration date
06/28/2007
Last updated
10/02/2020
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