Marivic Botta is a Specialist in Bridgeport, Connecticut. Marivic Botta practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marivic Botta is 1013055102. The last update date is 2007-07-08.
Marivic Botta's current location address is 3180 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033717111 and fax number 2033717111. The mailing address for Marivic Botta is 3180 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marivic Botta |
|---|---|
| Address | 3180 Main St, Bridgeport, Connecticut |
| Phone Number | 2033717111 |
| Fax Number | 2033717111 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013055102 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3180 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66064237 |
| Phone Number | 2033717111 |
| Fax Number | 2033717111 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 45299 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Marivic Botta by the Centers for Medicare & Medicaid Services?
The Marivic Botta has been issued the NPI (National Provider Identifier) 1013055102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marivic Botta's facilities are geographically located?
The facilities of Marivic Botta are physically situated at the following location: 3180 Main St, Bridgeport, CT, 66064237.
What is the Marivic Botta's area of specialization and corresponding taxonomy classification?
The Marivic Botta's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Marivic Botta receive its 1013055102 assignment?
The Marivic Botta was assigned its 1013055102 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Marivic Botta's details last updated?
The information pertaining to the Marivic Botta, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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