Individual
CHARLES OLLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
(860) 417-9156
Mailing address
1091 GUERNSEYTOWN RD, WATERTOWN, CT 06795-1247
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9423
CT
Other
Enumeration date
12/29/2020
Last updated
09/25/2024
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