Individual
RICHARD A MAROTTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, DANA BUILDING, 3RD FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-6361
(203) 737-4209
Mailing address
20 YORK ST, DANA BUILDING, 3RD FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-6361
(203) 737-4209
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
028117
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001281170
—
CT
Enumeration date
11/22/2005
Last updated
06/25/2014
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