Physician Compare National (NPI:1740344902)

HEALTHCARE PROVIDER: EDWARD JOHN BILOTTI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740344902
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466468756
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120816000087
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BILOTTI
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16 ATLANTIC PL
	Group Practice or individual's line 1 address
City	SOUTH PORTLAND
	Group Practice or individual's city
State	ME
	Group Practice or individual's state
Zip Code	041062316
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M