# DR. MICHAEL J BOTTICELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962439273
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 0101057615 | VA | — |
| 174400000X | Specialist | D0087500 | MD | — |
| 207VX0000X | Obstetrics Physician | 0101057615 | VA | — |
| 207VX0000X | Obstetrics Physician | D87500 | MD | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 10/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006200371 | — | VA |