Individual
MR. SCOTT MICHAEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
426 BARBER HILL RD, SOUTH WINDSOR, CT 06074-1628
(860) 432-9714
Mailing address
426 BARBER HILL RD, SOUTH WINDSOR, CT 06074-1628
(860) 432-9714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001753
CT
Other
Enumeration date
08/30/2006
Last updated
01/08/2011
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