National Provider Identifier Database

EUGENE J SIDOTI JR, MD – NPI #1316958945
Plastic and Reconstructive Surgery

Contact Information

EUGENE J SIDOTI JR, MD
2601 E ROOSEVELT ST
PHOENIX, AZ  85008-4973
Phone: 602-344-5011
Fax: 602-344-5596
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Oral & Maxillofacial Surgery 204E00000X
Plastic Surgery 208200000X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for EUGENE J SIDOTI JR

NPI Number 1316958945
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 11/07/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 59440
  • NY License #: 175407
Hospital affiliation n/a

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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