Individual
DR. EZRA DOTTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
777 ECHO LAKE RD UNIT F, WATERTOWN, CT 06795
(860) 274-1773
Mailing address
777 ECHO LAKE RD UNIT F, WATERTOWN, CT 06795-6618
(860) 274-1773
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004178126
—
CT
01
—
030000686CT03
BLUE CROSS AND SHEILD
—
01
—
2V5210
HEALTHNET
—
01
—
5394697
AETNA HEALTH PLANS
—
01
—
7571237
CIGNA HEALTH PLANS
—
01
—
P00144204
RAILROAD MEDICARE
—
01
—
P3348525
OXFORD HEALTH PLANS
—
Enumeration date
06/09/2005
Last updated
09/12/2018
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