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NPI Verification

National Provider Identifier: 1477915437

Eric Max Bortnick, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology, Pediatric Urology

Code: 2088P0231X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology, Pediatric Urology

Code: 2088P0231X

Primary

Practice Address

789 HOWARD AVE # FMP309

NEW HAVEN, CT 065191304

Phone: 203-785-7671

NPI Enumeration Date

March 28, 2016

NPI Number

1477915437

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry