Ezra Dottino in Watertown - Podiatrist

Ezra Dottino - NPI 1700880580

Ezra Dottino is a Podiatrist in Watertown, Connecticut. Ezra Dottino practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Ezra Dottino is 1700880580. The last update date is 2018-09-12.

Ezra Dottino's current location address is 777 Echo Lake Rd Unit F, Watertown, Connecticut. You can contact this provider via phone number 8602741773. The mailing address for Ezra Dottino is 777 Echo Lake Rd Unit F, Watertown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Ezra Dottino
Address 777 Echo Lake Rd Unit F, Watertown, Connecticut
Phone Number 8602741773
Fax Number
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1700880580
Provider Enumeration Date 2005-06-09
Last Updated Date 2018-09-12

Provider Mailing Address Detail

Address 777 Echo Lake Rd Unit F
City Watertown
State Connecticut (CT)
Post Code 679566180
Phone Number 8602741773
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 686
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4178126 CT --
030000686CT03 BLUE CROSS AND SHEILD
7571237 CIGNA HEALTH PLANS
5394697 AETNA HEALTH PLANS
2V5210 HEALTHNET
P00144204 RAILROAD MEDICARE
P3348525 OXFORD HEALTH PLANS

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FAQs about Ezra Dottino

What is the unique identifier code issued to Ezra Dottino by the Centers for Medicare & Medicaid Services (CMS)?

The Ezra Dottino has been assigned the NPI (National Provider Identifier) 1700880580. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Ezra Dottino's facilities are situated?

The facilities of Ezra Dottino are physically located at the following address: 777 Echo Lake Rd Unit F, Watertown, CT, 679566180.

What is Ezra Dottino's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ezra Dottino is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700880580 to Ezra Dottino?

The Centers for Medicare & Medicaid Services assigned the 1700880580 to Ezra Dottino on 2005-06-09.

As of what date was the information regarding Ezra Dottino, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ezra Dottino, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-12.

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