Individual
AMY E. BORTZFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD44195
TN
207RG0100X
Gastroenterology Physician
Primary
P4816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322016201
—
TX
01
—
322016202
MEDICAID CSHCN
TX
Enumeration date
01/04/2007
Last updated
10/14/2024
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