Individual
DR. TODD A BICKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
(860) 777-1276
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51497
CT
207Q00000X
Family Medicine Physician
MT196278
PA
363A00000X
Physician Assistant
001400
CT
363AM0700X
Medical Physician Assistant
001400
CT
363AM0700X
Medical Physician Assistant
MA053911
PA
Other
Enumeration date
07/28/2006
Last updated
12/09/2022
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