Marivic Dayrit Botta, M.D. Valid NPI
Individual provider · Pediatrics Physician · Trumbull, CT
- NPI
- 1013055102
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 045299 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-02
- Last updated
- 2024-06-18
Practice location
15 Corporate Dr
Trumbull, CT 06611-1351
(203) 452-8322