Individual
BRANDON OTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-3343
(860) 679-4256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004365
CT
363A00000X
Physician Assistant
C05853
MD
Other
Enumeration date
06/30/2015
Last updated
09/29/2022
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