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Individual

FELICIA OTOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL ORTHOPEDIC SERVICES, HARTFORD, CT 06102-5037
(860) 545-2245
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002174
CT
363AM0700X
Medical Physician Assistant
Primary
002174
CT
363AS0400X
Surgical Physician Assistant
2174
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003021748
CT
Enumeration date
11/05/2008
Last updated
03/05/2014
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