Individual
CARL JOSEPH GISNARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP, LP
Contact information
Practice address
29 VALLEY VIEW DR, AVON, CT 06001-2712
(860) 790-3517
Mailing address
29 VALLEY VIEW DR, AVON, CT 06001-2712
(860) 790-3517
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099034
AMERICAN BOARD OF CARDIOVASCULAR PERFUSION
—
01
—
83.000131
LICENSURE
CT
Enumeration date
02/23/2023
Last updated
02/23/2023
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