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NPI Code Detail

MEDICARE: RAFFAELLA MOROTTI MD

MEDICARE:   RAFFAELLA  MOROTTI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician223880NY
2207ZP0213XPediatric Pathology Physician223880NY

General Provider Information

NPI Number : 1033117841
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFFAELLA MOROTTI MD
Provider Business Mailing Address
First Line : 310 CEDAR STREET
Second Line : PATHOLOGY DEPTMENT
City : NEW HAVEN
State : CT
Zip : 06510-8023
Country : US
Telephone Number : 203-737-6325
Fax Number :
Provider Business Practice Location Address
First Line : 310 CEDAR ST
Second Line : PATHOLOGY DEPARTMENT
City : NEW HAVEN
State : CT
Zip : 06510-3218
Country : US
Telephone Number : 203-737-6325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/29/2011

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