Organization
DR GOTAY ENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M GOTAY M.D. (OWNER)
(203) 597-1002
Entity
Organization
Contact information
Practice address
171 GRANDVIEW AVENUE, SUITE 203, WATERBURY, CT 06708-2520
(203) 597-1002
(203) 575-9846
Mailing address
171 GRANDVIEW AVENUE, SUITE 203, WATERBURY, CT 06708-2520
(203) 597-1002
(203) 575-9846
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
03/18/2010
Last updated
12/18/2013
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