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Individual

DR. TERRENCE FREDERIC ODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3580 MAIN ST, HARTFORD, CT 06120-1121
(860) 241-0700
(860) 525-7881
Mailing address
3580 MAIN ST, HARTFORD, CT 06120-1121
(860) 241-0700
(860) 525-7881

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
046133
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046133
LICENSE
CT
Enumeration date
07/07/2005
Last updated
01/22/2008
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