MEDICARE: DR. VICTORIA ANN BOTTONE M.D.

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
1	207R00000X	Internal Medicine Physician	D0044081	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110233170	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2593426	OTHER	MD	AETNA CAPITATED
4	527339-09	OTHER	MD	CAREFIRST MD RENDERING
5	892309	OTHER	MD	MAMSI PRIMARY CARE
6	P14958	OTHER	MD	CAREFIRST MPOS
7	012701	OTHER	MD	JHHC PROVIDER NUMBER
8	5508245	OTHER	MD	AETNA FEE FOR SERVICE
9	292309	OTHER	MD	MAMSI SPECIALIST
10	7109332	OTHER	MD	CIGNA PIN NUMBER
11	7605-0045	OTHER	MD	CAREFIRST BLUECHOICE

General Provider Information

NPI Number	:	1023019981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA ANN BOTTONE M.D.

Provider Business Mailing Address
First Line	:	2401 BRANDERMILL BLVD
Second Line	:	SUITE 360
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1690
Country	:	US
Telephone Number	:	410-721-9862
Fax Number	:	410-721-9864

Provider Business Practice Location Address
First Line	:	2401 BRANDERMILL BLVD
Second Line	:	SUITE 360
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1690
Country	:	US
Telephone Number	:	410-721-9862
Fax Number	:	410-721-9864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/15/2009

Similar Medicare Providers

1508866336 — DR. DAVID CONRAD ANDERSON M.D.
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 360
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-9862
Practice Fax: 410-721-9865

1538152004 — DR. SEJAL G MATTU MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 220
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-7214
Practice Fax: 410-451-7218

1598758054 — DR. RUTH K GALLATIN MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 220
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-7214
Practice Fax: 410-451-7218

1497748800 — DR. DAVID G FREAS MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 250
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-1507
Practice Fax: 410-721-1510

1083607410 — DR. IAN M SHANTZ MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 250
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-1507
Practice Fax: 410-721-1510

1760476105 — JACKIE SYME MD
Practice Location Address:

2401 BRANDERMILL BLVD , SITE 301
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-9064
Practice Fax: 410-451-9065

Directions to “ DR. VICTORIA ANN BOTTONE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.