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NPI Code Detail

MEDICARE: ROBERT R. TOTA M.D.

MEDICARE: ROBERT R. TOTA 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
1207RC0000XCardiovascular Disease Physician033209CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558309799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R. TOTA M.D.
Provider Business Mailing Address
First Line : 4675 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1813
Country : US
Telephone Number : 203-683-5100
Fax Number : 203-683-5140
Provider Business Practice Location Address
First Line : 4675 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1813
Country : US
Telephone Number : 203-683-5100
Fax Number : 203-683-5140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 06/27/2008

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