Individual
DR. AMY I O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
176 KETTLETOWN WOODS RD, SOUTHBURY, CT 06488-2710
(203) 405-1475
Mailing address
176 KETTLETOWN WOODS RD, SOUTHBURY, CT 06488-2710
(203) 405-1475
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
040790
CT
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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