Individual
SAMUEL ANTHONY BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1187 THORN RUN ROAD, ONE THORN RUN CENTER, CORAOPOLIS, PA 15108
(412) 262-1005
(412) 262-1006
Mailing address
66 FOREST GLEN DR, IMPERIAL, PA 15126-9673
(724) 695-7121
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD033613E
PA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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