Individual
DR. MICHAEL J BOTTICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101057615
VA
174400000X
Specialist
D0087500
MD
207VX0000X
Obstetrics Physician
0101057615
VA
207VX0000X
Obstetrics Physician
Primary
D87500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006200371
—
VA
Enumeration date
06/26/2006
Last updated
10/23/2023
Update your record
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