Individual
BRYAN AJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2315
Mailing address
45 COLONIAL DR, PORTSMOUTH, NH 03801-4727
(774) 200-0860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076599-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
RN657
ME
Other
Enumeration date
02/15/2016
Last updated
10/01/2017
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