Provider Demographics
NPI:1366615502
Name:ROTUNDO, EDYTA K (MD)
Entity type:Individual
Prefix:
First Name:EDYTA
Middle Name:K
Last Name:ROTUNDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FOUNDERS PLAZA, HARTFORD PATHOLOGY ASSOCAITES, P.C
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108
Mailing Address - Country:US
Mailing Address - Phone:860-282-4022
Mailing Address - Fax:
Practice Address - Street 1:111 FOUNDERS PLAZA, HARTFORD PATHOLOGY ASSOCAITES, P.C
Practice Address - Street 2:SUITE 300
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108
Practice Address - Country:US
Practice Address - Phone:860-282-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046371207ZP0102X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology