Individual
DR. ROBERT KINGSBURY BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 STRAITS TPKE UNIT 2, WATERTOWN, CT 06795-3356
(203) 262-9979
Mailing address
6 RESEARCH DR STE 105, SHELTON, CT 06484-6228
(203) 210-6340
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
64159
CT
Other
Enumeration date
05/05/2014
Last updated
06/13/2023
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