Basic Information
| Provider Information | |||||||||
| NPI: | 1366615502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROTUNDO | ||||||||
| FirstName: | EDYTA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 FOUNDERS PLAZA, HARTFORD PATHOLOGY ASSOCAITES, P.C | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | EAST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602824022 | ||||||||
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| Practice Location | |||||||||
| Address1: | 111 FOUNDERS PLAZA, HARTFORD PATHOLOGY ASSOCAITES, P.C | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | EAST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602824022 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2008 | ||||||||
| LastUpdateDate: | 09/03/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 046371 | CT | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZC0500X | 046371 | CT | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology |
No ID Information.