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Contact Information

RICHARD A MAROTTOLI, MD
20 YORK ST
DANA BUILDING, 3RD FLOOR
NEW HAVEN, CT06510-3220
 Phone: 203-785-6361
 Fax: 203-737-4209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD A MAROTTOLI · (Male)

NPI Number 1477536522
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 06/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 028117
  • CT Medicaid 001281170
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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