Individual
KEITH RICHARD O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 MAIN ST STE 119, BRIDGEPORT, CT 06606-5305
(203) 338-8760
Mailing address
2600 MAIN ST STE 119, BRIDGEPORT, CT 06606-5305
(203) 338-8760
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
64924
CT
Other
Enumeration date
04/28/2015
Last updated
07/15/2020
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