Individual
MATHEW JOSE KOTTARATHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102-8000
(860) 972-0549
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68970
CT
208M00000X
Hospitalist Physician
Primary
68970
CT
Other
Enumeration date
04/07/2016
Last updated
05/30/2023
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