Individual
MR. OCTAVIO GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3540
Mailing address
35 TIMBER LN, BETHANY, CT 06524-3365
(203) 623-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073600
CT
Other
Enumeration date
06/13/2006
Last updated
02/25/2014
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