Individual
ANTHONY DOTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4477
(860) 679-8770
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477
(860) 679-8770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044286
CT
207R00000X
Internal Medicine Physician
ME101668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711919561A
—
GA
01
—
K1951A
BPC GROUP MCR PIN
FL
Enumeration date
07/03/2006
Last updated
09/30/2022
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