Individual
JUDITH ANN MCGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
365 MONTAUK, LAWRENCE AND MEMORIAL HOSPITAL, NEW LONDON, CT 06320
(860) 442-0711
Mailing address
26 TILTON STREET, NORWICH, CT 06360
(860) 204-0321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000261
CT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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