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Individual

SALVATORE CRISCUOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
1000 ASYLUM AVE STE 2112, HARTFORD, CT 06105-1719
(203) 710-7484

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8735
CT
363LG0600X
Gerontology Nurse Practitioner
8735
CT

Other

Enumeration date
02/05/2020
Last updated
03/08/2021
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