NPI 1093883761

Concepcion Cabantac Ochotorena, MD

Practitioner General Practice Physician Manchester, CT

Practice location

Address: 335 Broad St, Manchester, CT 06040-4036
Phone: (860) 643-3200
Fax: (860) 643-3201
Mailing address: 28 Bancroft Ln, South Windsor, CT 06074-2463

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 035190 (CT)

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Registry record

NPI: 1093883761
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2006
Record last updated: 2 Mar 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.