Individual
DEBRA K GOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038858
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001388588
—
CT
01
—
010038858CT01
BLUE CROSS-STAMFORD
CT
01
—
010038858CT02
BLUE CROSS-DARIEN
CT
01
—
038858
CONNECTICARE
CT
01
—
06-0873781
GREAT WEST
CT
01
—
10449669
CAQH
CT
01
—
7555130
AETNA
CT
01
—
OV7530
HEALTHNET
CT
01
—
P2107015
OXFORD
CT
Enumeration date
11/28/2006
Last updated
11/16/2009
Update your record
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