Individual
EDWIN A. LOMOTAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 WHITNEY AVE, SUTIE 240, HAMDEN, CT 06518-3691
(203) 287-5400
Mailing address
2200 WHITNEY AVE, SUTIE 240, HAMDEN, CT 06518-3691
(203) 287-5400
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
042444
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00142444900
BLUECARE FAMILY PLAN
CT
01
—
0100422444CT01
ANTHEM BLUE CROSS
CT
01
—
042444
CONNECTICARE
CT
01
—
2V7398
HEALTHNET
CT
01
—
P3626837
OXFORD
CT
Enumeration date
03/29/2006
Last updated
07/08/2007
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