Marivic D Botta, MD
Pediatrics in Trumbull, Connecticut
1013055102- Practice location
- 15 Corporate Dr, Trumbull, CT 06611-1351
- Phone
- 203-452-8322
- Fax
- —
- Last updated
- June 18, 2024
Marivic Dayrit Botta is a Pediatrics based in Trumbull, CT. Marivic Dayrit Botta practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Marivic Dayrit Botta is 1013055102 and holds a License No. 045299 (CT). The current practice location address for Marivic Dayrit Botta is 15 Corporate Dr, Trumbull, CT 06611-1351 and can be reached out via phone at 203-452-8322.
Provider Profile Details
- NPI Number
- 1013055102
- Provider Name
- Marivic Dayrit Botta
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Corporate Dr, Trumbull, CT 06611-1351
- Phone Number
- 203-452-8322
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- June 18, 2024
- Certification Date
- June 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Corporate Dr
Trumbull, CT 06611-1351 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-1351
- Phone Number
- 203-452-8322
Provider Business Mailing Address Details
- Address
- 100 Beard Sawmill RD
Shelton, CT 06484-6150 - City
- Shelton
- State
- CT
- Zip
- 06484-6150
- Phone Number
- 203-452-8322
- Fax Number
- 203-452-8326
License Information
- License Number (1)
- 045299
- License State (1)
- CT
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 045299
- License State (2)
- CT
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Trumbull, CT
View all Pediatrics providers in Trumbull →Frequently Asked Questions
What is the NPI number of Marivic D Botta, MD?
The NPI number of Marivic D Botta, MD is 1013055102. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Marivic D Botta, MD?
Marivic D Botta, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 045299.
Where does Marivic D Botta, MD practice?
The practice location is 15 Corporate Dr, Trumbull, CT 06611-1351. The office can be reached at 203-452-8322 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013055102 directly on the NPPES registry website.