Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric Max Bortnick, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477915437

Eric Max Bortnick, MD is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

789 Howard Ave # FMP309
New Haven, CT 06519-1304
Phone: (203) 785-7671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 77347 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477915437
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2016
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address789 Howard Ave # Fmp309, New Haven, CT 06519-1304

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