Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL R OTTO, P.A.
ActiveRUSSELL R OTTO, P.A. is a Physician Assistant healthcare provider located in WATERFORD, Connecticut. NPI 1346264215 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WATERFORD, CT
Registration Details
- NPI Number
- 1346264215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.027817614629 yrs)
- Last Updated
- Oct 29, 2019
- License
-
004505 (CT)
Practice Information
- Address
-
201 BOSTON POST RDWATERFORD, CT, 06385Browse CT providers · Browse ZIP 06385
- Phone
- 8604420407
- Fax
- 8604442015
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WATERFORD, CT
| Name | Credential | NPI |
|---|---|---|
| SUSAN K SCHROEDER | PA | 1124092457 |
| CHRISTOPHER D. SMITH | PA | 1629042932 |
| ROBERT JOHN KUPIS | PA-C | 1285676353 |
| AMANDA SIMINERIO | PA-C | 1497184709 |
| ELIZABETH WILLETTS | — | 1033590120 |
| JULIE ZITO | P.A. | 1427431840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.