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Individual

CHRISTINE A ODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
150 SARGENT DR, SUITE 6, NEW HAVEN, CT 06511-6100
(203) 781-4321
(203) 781-4329
Mailing address
150 SARGENT DR, SUITE 6, NEW HAVEN, CT 06511-6100
(203) 781-4321
(203) 781-4329

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
053435
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008055097
CT
05
2037696
MA
01
C06778
GROUP PTAN
VA
01
C09463
GROUP PTAN
VA
Enumeration date
11/18/2005
Last updated
01/08/2015
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