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Individual

ANTHONY DOTUR

Active
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Individual

ANTHONY DOTUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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