NPI 1093071631

Roger Joseph Branson, MD

Practitioner General Practice Physician Bethlehem, CT

Practice location

Address: 12 Woodcreek Rd, Bethlehem, CT 06751-1705
Phone: (203) 266-5021

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence CT15003 (CT)

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Registry record

NPI: 1093071631
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2012
Record last updated: 9 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.