Individual
DR. IAN DOUGLAS ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
333 CEDAR ST BLDG LMP, ROOM 5040, NEW HAVEN, CT 06510-3206
(203) 785-4092
Mailing address
15 YORK ST, ROOM 5040, NEW HAVEN, CT 06510-3221
(203) 785-4092
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55057
CT
Other
Enumeration date
03/22/2012
Last updated
05/02/2016
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