Individual
JOSE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1312 W MAIN ST, WATERBURY, CT 06708-3121
(203) 756-6422
(860) 826-4992
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E50244
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
1797
CT
Other
Enumeration date
06/04/2006
Last updated
02/29/2024
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