Individual
MR. DENNIS DOMENIC PANNELLA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA APRN
Contact information
Practice address
1423 CHAPEL ST, NEW HAVEN, CT 06511
(203) 865-3852
(203) 865-2983
Mailing address
75 VILLAGE DR, SHELTON, CT 06484
(203) 929-8204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000664
CT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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