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Contact Information

DOMINICK F ROTO II, DO FAAFP
145 POMFRET ST
PUTNAM, CT06260
 Phone: 860-928-5248
 Fax: 860-928-5286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DOMINICK F ROTO II · (Male)

NPI # 1245319136
Status Active
Credentials DO FAAFP
Entity Individual
Enumeration date 11/03/2006
Last updated 04/02/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000328
  • CT Medicaid 001003285
  • Other 2962295 AETNA
  • CT Other 040000328CJ01 BCBS
Hospital affiliation(s)
  • DAY KIMBALL HOSPITAL - (Acute Care)
    320 POMFRET STREET
    PUTNAM, CT 06260
  • JOHN DEMPSEY HOSPITAL - (Acute Care)
    263 FARMINGTON AVE
    FARMINGTON, CT 06032
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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