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Individual

MR. CHARLES GERALD RIVELLINI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1157 SOUTH SR 7, WELLINGTON, FL 33414
(561) 795-3330
(561) 795-1030
Mailing address
15 RIMMON HILL RD, WOODBRIDGE, CT 06525-1322
(203) 824-8482
(203) 387-8397

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000819
CT

Other

Enumeration date
07/21/2009
Last updated
09/19/2014
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