Botta, Thomas

Botta, Thomas is an individual health care provider with primary practice located at 24 Hospital Ave , Danbury CT 06810-6099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Botta, Thomas can be contacted via phone (203) 739-7070.

Contact Information

Primary practice address
24 Hospital Ave Danbury CT 06810-6099
Phone: (203) 739-7070
Fax: (203) 739-8931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 045288 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 045288 Connecticut

Profile Details

NPI number 1417177072
LBN Legal business name Botta, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 31st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417177072 NPPES
Connecticut Other 11696737 CAQH NUMBER
Connecticut Other 1417177072 CAQH NUMBER

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