Individual
RONALD CONVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
(856) 968-8239
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00272300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR13087000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NR13087000
STATE LICENSE
NJ
Enumeration date
12/30/2009
Last updated
03/18/2021
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