Individual
DR. GINO BOTTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 W SAINT MARYS RD STE 100, TUCSON, AZ 85745-2621
(520) 276-2270
(520) 585-5827
Mailing address
330 WASHINGTON ST STE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
C1-0025452
DE
207RH0003X
Hematology & Oncology Physician
137196-1
NY
207RH0003X
Hematology & Oncology Physician
Primary
55107
CA
207RX0202X
Medical Oncology Physician
C1-0025452
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826499
—
NY
Enumeration date
08/31/2006
Last updated
11/01/2022
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