Healthcare Provider Details

I. General information

NPI: 1497288294
Provider Name (Legal Business Name): ARTHUR ROBERT BARTOLOZZI IV MD, MPHIL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DANBURY RD STE 100
WILTON CT
06897-4485
US

IV. Provider business mailing address

45 DANBURY RD STE 100
WILTON CT
06897-4485
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-2200
  • Fax: 203-845-2070
Mailing address:
  • Phone: 203-845-2200
  • Fax: 203-845-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number85737
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberA157325
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD61283453
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: