Individual
CHRISTOPHER STATUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6314 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-5543
(609) 813-2190
Mailing address
618 PARK PLACE, GALLOWAY, NJ 08205
(609) 404-9292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO07723900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2471817
—
NJ
Enumeration date
08/15/2005
Last updated
07/08/2007
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