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Dr. Michael J Botticelli, MD
Obstetrics Physician in Leonardtown, Maryland
NPI 1962439273

Michael J Botticelli is a Obstetrics Physician based in Harrisonburg, MD and is specialized in Obstetrics. Michael J Botticelli practices in Leonardtown, MD and has the professional credentials of MD. The NPI Number for Michael J Botticelli is 1962439273 and holds a License No. 0101057615 (Maryland).

The current practice location address for Michael J Botticelli is 25500 Point Lookout Rd, Leonardtown, MD and can be reached out via phone at 301-475-6001.

Location: 25500 Point Lookout Rd, Leonardtown, MD, 22801-5424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962439273
Provider Name
Michael J Botticelli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25500 Point Lookout Rd, Leonardtown, MD, 22801-5424
Phone Number
301-475-6001
Fax Number
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006200371 05 VA
institution
Provider Business Practice Location Address Details
Address
25500 Point Lookout Rd
City
Leonardtown
State
Maryland
Zip
20650-2015
Phone Number
301-475-6001
Fax Number
person
Provider Business Mailing Address Details
Address
25500 Point Lookout Rd
City
Leonardtown
State
Maryland
Zip
20650-2015
Phone Number
301-475-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0087500 (Maryland)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
0101057615 (Virginia)
Definition
Definition to come...
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