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Contact Information

EZRA DOTTINO, DPM
777 ECHO LAKE RD UNIT F
WATERTOWN, CT06795
 Phone: 860-274-1773
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EZRA DOTTINO · (Male)

NPI Number 1700880580
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2005
Last updated 09/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000686
  • CT Medicaid 004178126
  • Other 5394697 AETNA HEALTH PLANS
  • Other 030000686CT03 BLUE CROSS AND SHEILD
  • Other 7571237 CIGNA HEALTH PLANS
  • Other 2V5210 HEALTHNET
  • Other P3348525 OXFORD HEALTH PLANS
  • Other P00144204 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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