Eric M Bortnick, MD
Urology, Pediatric Urology in New Haven, Connecticut
1477915437- Practice location
- 789 Howard Ave # Fmp309, New Haven, CT 06519-1304
- Phone
- 203-785-7671
- Fax
- —
- Last updated
- September 24, 2024
Eric Max Bortnick is an Urology, Pediatric Urology based in New Haven, CT. Eric Max Bortnick practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Eric Max Bortnick is 1477915437 and holds a License No. 77347 (CT). The current practice location address for Eric Max Bortnick is 789 Howard Ave # Fmp309, New Haven, CT 06519-1304 and can be reached out via phone at 203-785-7671.
Provider Profile Details
- NPI Number
- 1477915437
- Provider Name
- Eric Max Bortnick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 789 Howard Ave # Fmp309, New Haven, CT 06519-1304
- Phone Number
- 203-785-7671
- Primary Taxonomy
- Urology, Pediatric Urology · 2088P0231X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 28, 2016
- Last Update Date
- September 24, 2024
- Certification Date
- September 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 789 Howard Ave # Fmp309
New Haven, CT 06519-1304 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1304
- Phone Number
- 203-785-7671
Provider Business Mailing Address Details
- Address
- 789 Howard Ave # Fmp309
New Haven, CT 06519-1304 - City
- New Haven
- State
- CT
- Zip
- 06519-1304
- Phone Number
- 203-785-7671
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 77347
- License State (2)
- CT
- Taxonomy (2)
- Urology, Pediatric Urology · 2088P0231X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eric M Bortnick, MD?
The NPI number of Eric M Bortnick, MD is 1477915437. It was assigned on March 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Eric M Bortnick, MD?
Eric M Bortnick, MD is registered under the primary taxonomy Urology, Pediatric Urology (code 2088P0231X), licensed in CT under license number 77347.
Where does Eric M Bortnick, MD practice?
The practice location is 789 Howard Ave # Fmp309, New Haven, CT 06519-1304. The office can be reached at 203-785-7671 (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 1477915437 directly on the NPPES registry website.