Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL ANTHONY BOTTA, M.D.
Active Sole ProprietorSAMUEL ANTHONY BOTTA, M.D. is a Plastic Surgery healthcare provider located in CORAOPOLIS, Pennsylvania. NPI 1780741157 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · CORAOPOLIS, PA
Registration Details
- NPI Number
- 1780741157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.585332431872 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD033613E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1187 THORN RUN ROADONE THORN RUN CENTERCORAOPOLIS, PA, 15108Browse PA providers · Browse ZIP 15108
- Phone
- 4122621005
- Fax
- 4122621006
- Primary Specialty
-
Plastic Surgery
208200000X
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.