Individual
MR. TIMOTHY W FERRAROTTI
Active
Individual
MR. TIMOTHY W FERRAROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000608
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000608
LICENSE #
CT
01
—
060800
CONNECTICARE
CT
01
—
0608003630
CONNECTICARE
—
01
—
500HBE262CT01
BCBS GROUP #
CT
01
—
628737
CONNECTICARE GROUP #
CT
01
—
789159
MVP
CT
01
—
970030307
RAILROAD
CT
01
—
99318
GHI
CT
01
—
C02911
MEDICARE PIN GROUP #
CT
01
—
CK7848
RAILROAD GROUP #
CT
Enumeration date
06/22/2006
Last updated
05/19/2008
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