Samuel Anthony Botta M.D.

NPI 1780741157 - Plastic Surgery - 208200000X

NPI Details
NPI 1780741157
Gender Male
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1187 THORN RUN ROAD
ONE THORN RUN CENTER
CORAOPOLIS PA, 15108, US
Phone (412) 262-1005
Fax (412) 262-1006
Business Location
66 FOREST GLEN DR
IMPERIAL PA, 15126-9673, US
Phone (724) 695-7121
Fax
Toxanomy
Taxonomy Code 208200000X
License State Pennsylvania
License Number MD033613E
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According to our database, Samuel Anthony Botta M.D. NPI is 1780741157, taxonomy code is 208200000X and license number is MD033613E, license state is located at Pennsylvania. Samuel Anthony Botta M.D. physically located at 1187 Thorn Run Road, Coraopolis PA, 15108. NPI Number Samuel Anthony Botta M.D. has the Individual type.

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1780741157 NPI number is provided on an as is basis without warranty of any kind. 1780741157 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Anthony Botta M.D. are for informational purposes only.