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Individual

GIACINTA ROUPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 COOPER PLZ, DEPT OF ANESTHESIA, CAMDEN, NJ 08103
(856) 342-2425
(856) 968-8239
Mailing address
396 WELSH RD, HUNTINGDON VALLEY, PA 19006-6440
(267) 242-4126

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN512303L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
053601
NJ
367500000X
Certified Registered Nurse Anesthetist
053601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1377359
HIGHMARK
PA
01
2069051000
INDEP. BLUE CROSS
PA
01
430070724
RAIL ROAD
PA
01
50003129
CAPITAL ADVANTAGE
PA
01
82830
GEISINGER
PA
Enumeration date
09/15/2005
Last updated
08/16/2018
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