person
Marivic Botta, MD
Specialist in Bridgeport, Connecticut
NPI 1013055102

Marivic Botta is a Specialist based in Bridgeport, CT. Marivic Botta practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Marivic Botta is 1013055102 and holds a License No. 045299 (Connecticut).

The current practice location address for Marivic Botta is 3180 Main St, Bridgeport, CT and can be reached out via phone at 203-371-7111 and via fax at 203-371-7111. You can also correspond with Marivic Botta through the mailing address at 3180 MAIN ST, BRIDGEPORT, CT - 06606-4237 (mailing address contact number: 203-371-7111).

Location: 3180 Main St, Bridgeport, CT, 06606-4237
person
Provider Profile Details
NPI Number
1013055102
Provider Name
Marivic Botta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3180 Main St, Bridgeport, CT, 06606-4237
Phone Number
203-371-7111
Fax Number
203-371-7111
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3180 Main St
City
State
Zip
06606-4237
Phone Number
203-371-7111
Fax Number
203-371-7111
person
Provider Business Mailing Address Details
Address
3180 Main St
City
State
Zip
06606-4237
Phone Number
203-371-7111
Fax Number
203-371-7111
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
045299 (Connecticut)
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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