SearchPennsylvania208200000X

Samuel Botta, M.D

NPI 1780741157 · on the registry since 2007 · sole proprietor

Practice

Address
1187 Thorn Run Road
One Thorn Run Center
Coraopolis, PA 15108
Phone
(412) 262-1005
Fax
(412) 262-1006
Organisation at this address
Conquest Oral And Maxillofacial Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
208200000X
208200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania