Botta, Joseph John
Botta, Joseph John is an individual health care provider with primary practice located at 24 S Main St , Putnam CT 06260-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Botta, Joseph John can be contacted via phone (860) 315-9026.Contact Information
Primary practice address
24 S Main St
Putnam CT 06260-1906
Phone: (860) 315-9026
Fax: (860) 315-9142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040605 | Connecticut |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 040605 | Connecticut |
Profile Details
| NPI number | 1831105360 |
|---|---|
| LBN Legal business name | Botta, Joseph John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 22nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831105360 | NPPES |
| Connecticut | Other | 010040605CT01 | ANTHEM BCBS |
| Connecticut | MEDICAID | 1406059 | ANTHEM BCBS |
| Connecticut | Other | 2V2749 | ANTHEM BCBS |
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