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Contact Information

JORGE M BOTERO, MD
360 MERRIMACK ST
BLDG 9, ENTRANCE I
LAWRENCE, MA01843-1740
 Phone: 978-688-6182
 Fax: 978-689-0731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JORGE M BOTERO · (Male)

NPI # 1699758979
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2005
Last updated 05/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 76765
  • NH License # 9469
  • MA Medicaid 110052237A
  • NH Medicaid 3080859
Hospital affiliation(s)
  • LAWRENCE GENERAL HOSPITAL - (Acute Care)
    ONE GENERAL STREET
    LAWRENCE, MA 01842
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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