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Individual

DR. MANDY LYNN OLCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(917) 445-7321

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0804
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1200
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00733933
RAILROAD MEDICARE
NV
Enumeration date
07/14/2008
Last updated
01/14/2026
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