Individual
BRENT CADOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
11860 LASSELLE ST, MORENO VALLEY, CA 92557-6601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4442
CT
363A00000X
Physician Assistant
PA01103
RI
Other
Enumeration date
09/01/2016
Last updated
04/26/2022
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