Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0049401 | CT |
N | 207P00000X | Emergency Physician | 235660 | NY |
N | 207P00000X | Emergency Physician | N0229 | TX |
N | 207PP0204X | Pediatric Emergency Physician | 49336 | CT |
NPI | 1104028547 |
---|---|
Provider Name | Seth Aaron Lotterman |
First Address | Hartford, CT 06102-8000 |
Second Address | Hartford, CT 06102-5037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 17/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001493360 | (05) | CT |
201253602 | (05) | TX |
8BZ137 | BCBSTX (01) | TX |