Marivic Botta, M.D. is a specialist in Bridgeport, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Marivic Botta, M.D. NPI is 1013055102. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3180 MAIN ST
SUITE G-1
BRIDGEPORT, CT
ZIP 06606-237
Phone: (203) 371-7111
Fax: (203) 371-7111
The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/8/2007.