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Contact Information

EUGENE J SIDOTI JR, MD
2601 E ROOSEVELT ST
PHOENIX, AZ85008-4973
 Phone: 602-344-5011
 Fax: 602-344-5596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EUGENE J SIDOTI JR · (Male)

NPI # 1316958945
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 59440
  • NY License # 175407
Hospital affiliation(s)
  • MARICOPA MEDICAL CENTER - (Acute Care)
    2601 EAST ROOSEVELT STREET
    PHOENIX, AZ 85008
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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