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NPI Code Detail

MEDICARE: CHRISTINA BOTTI

MEDICARE:   CHRISTINA  BOTTI
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1871572339
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA BOTTI
Provider Business Mailing Address
First Line : 66 WEST GILBERT ST
Second Line :
City : REDBANK
State : NJ
Zip : 07701
Country : US
Telephone Number : 732-212-0051
Fax Number : 732-212-0713
Provider Business Practice Location Address
First Line : 125 PATERSON ST
Second Line : CLINICAL ACADEMIC BUILDING RM 2117
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1962
Country : US
Telephone Number : 732-235-6630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/20/2009

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Directions to “ CHRISTINA BOTTI ” Practice Location

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