Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGEDI NICHOLSON BOTO, M.D./PH.D.
Active Sole ProprietorAGEDI NICHOLSON BOTO, M.D./PH.D. is a Anatomic Pathology healthcare provider located in BRIDGEPORT, Connecticut. NPI 1568729077 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1568729077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2012 (14.173739011605 yrs)
- Last Updated
- Mar 11, 2019
- License
-
55202 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 MAIN STBRIDGEPORT, CT, 066064201Browse CT providers · Browse ZIP 06606
- Phone
- 4752105032
- Fax
- 4752105034
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.