Individual
DR. DOMINICK F ROTO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO FAAFP
Contact information
Practice address
145 POMFRET ST, PUTNAM, CT 06260
(860) 928-5248
(860) 928-5286
Mailing address
145 POMFRET ST, PUTNAM, CT 06260-1803
(860) 928-5248
(860) 928-5286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000328
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003285
—
CT
01
—
040000328CJ01
BCBS
CT
01
—
2962295
AETNA
—
Enumeration date
11/03/2006
Last updated
04/02/2015
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