AGEDI NICHOLSON BOTO


Address: 2800 Main St, Bridgeport, CT 06606-4201
Phone: 4752105032

AGEDI NICHOLSON BOTO (NPI# 1568729077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568729077
Entity Type Individual
Full Name AGEDI NICHOLSON BOTO
Credential M.D./PH.D.
Practice Address 2800 Main St
Bridgeport
CT 06606-4201
Mailing Address 20 York St
New Haven
CT 06510-3220
Practice Telephone 4752105032
Practice Fax Number 4752105034
Mailing Telephone 2036882259
Enumeration Date 2012-04-20
Last Update Date 2019-03-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0101X Pathology
Specialization: Anatomic Pathology
55202 CT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
20 York St, Yale-new Haven Hospital, New Haven, CT 065103220 2036882259

Office Location

Street Address 2800 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780678227 Stuart Marcus Surgery 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 2005-09-09
1134733074 Jessica Anne Mcdonald Physician Assistant 2800 Main St, Bridgeport, CT 06606-4292 2020-09-08
1720692874 Patricia A Hardy Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4292 2020-09-05
1083227920 Richard Magee Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4201 2020-08-29
1083223903 Victoria Piacquadio Nurse Anesthetist, Certified Registered 2800 Main St, Bridgeport, CT 06606-4201 2020-07-27
1972120509 Svmc Holdings, Inc Pharmacy 2800 Main St, Bridgeport, CT 06606-4201 2020-06-30
1083237168 Ranji Raju Nurse Anesthetist, Certified Registered 2800 Main St, Bridgeport, CT 06606-4292 2020-05-22
1437771698 Michaela Anne Paduch Physician Assistant 2800 Main St, Bridgeport, CT 06606-4292 2020-05-11
1376162982 Lyndsay Hauser Student in an Organized Health Care Education/Training Program 2800 Main St, Bridgeport, CT 06606-4201 2020-04-14
1851938435 Kaitlyn Mccarthy Pharmacist 2800 Main St, Bridgeport, CT 06606-4201 2019-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 207ZP0101X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821546003 Vincent Marchesi Pathology 179 Prospect Ave, Guilford, CT 06437-3100 2016-09-15
1144647769 Mark Mattie Pathology 1950 Litchfield Tpke, Woodbridge, CT 06525-1200 2014-03-20
1760640650 Jonathan S.l Earle Pathology 111 Founders Plz Ste 300, East Hartford, CT 06108-8307 2008-05-28
1558488213 Fatima Eslami-varzaneh Pathology 200 Watson Boulvard, Stratford, CT 06615 2007-03-26
1124143003 Nalini Y Masih Pathology Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 2007-03-20
1538221775 Paul Jay Cohen Pathology 11 Bunker Hill Rd, Woodbridge, CT 06525-2508 2006-12-14
1700825700 Yuhui Xu Pathology 200 Watson Blvd, Stratford, CT 06615-7127 2006-06-05
1295714632 Alexander B West Pathology 1 Greenwich Pl, Shelton, CT 06484-4618 2006-01-13
1558351759 Bo Xu Pathology 30 Shelburne Rd, Stamford, CT 06902-3628 2005-10-27
1033117841 Raffaella Morotti Pathology 310 Cedar St, Pathology Department, New Haven, CT 06510-3218 2005-07-14
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Competitor

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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