Individual
RICARDO ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4188
(860) 646-1222
Mailing address
PO BOX 417297, BOSTON, MA 02241-7297
(866) 623-3869
(866) 465-4714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
125586
CT
163W00000X
Registered Nurse
258410
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
006120
CT
Other
Enumeration date
03/23/2015
Last updated
12/28/2015
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