Active NPIIndividual provider

Dr. Joseph J Botta, MD

Internal Medicine in Putnam, Connecticut

NPI Number1831105360
Practice location
24 S Main St, Putnam, CT 06260-1906
Fax
860-315-9142
Last updated
July 22, 2014

Joseph John Botta is an Internal Medicine based in Putnam, CT. Joseph John Botta practices in Putnam, CT and has the professional credentials of MD. The NPI Number for Joseph John Botta is 1831105360 and holds a License No. 040605 (CT). The current practice location address for Joseph John Botta is 24 S Main St, Putnam, CT 06260-1906 and can be reached out via phone at 860-315-9026 and via fax at 860-315-9142.

Provider Profile Details

NPI Number
1831105360
Provider Name
Joseph John Botta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24 S Main St, Putnam, CT 06260-1906
Phone Number
860-315-9026
Fax Number
860-315-9142
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2006
Last Update Date
July 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 S Main St
Putnam, CT 06260-1906
City
Putnam
Zip
06260-1906
Phone Number
860-315-9026
Fax Number
860-315-9142
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
24 S Main St
Putnam, CT 06260-1906
City
Putnam
State
CT
Zip
06260-1906
Phone Number
860-315-9026
Fax Number
860-315-9142

License Information

License Number (1)
040605
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
040605
License State (2)
CT
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Joseph J Botta, MD?

The NPI number of Dr. Joseph J Botta, MD is 1831105360. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph J Botta, MD?

Dr. Joseph J Botta, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 040605.

Where does Dr. Joseph J Botta, MD practice?

The practice location is 24 S Main St, Putnam, CT 06260-1906. The office can be reached at 860-315-9026 (phone) or 860-315-9142 (fax).

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 1831105360 directly on the NPPES registry website.

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