Organization
RIVERVIEW MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK F ROTO II DO FAAFP (OWNER)
(860) 928-5248
Entity
Organization
Contact information
Practice address
145 POMFRET ST, PUTNAM, CT 06260
(860) 928-5248
(860) 928-5286
Mailing address
145 POMFRET ST, PUTNAM, CT 06260
(860) 928-5248
(860) 928-5286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000328
CT
Other
Enumeration date
10/11/2007
Last updated
10/12/2007
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