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Contact Information

ROBERT K BOTTA, MD
595 STRAITS TPKE UNIT 2
WATERTOWN, CT06795-3356
 Phone: 203-262-9979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ROBERT K BOTTA · (Male)

NPI # 1780094326
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2014
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 64159
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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