Individual
MICHAEL TROVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
RR 2 BOX 50-1, DALTON, PA 18414-9611
(570) 335-2405
Mailing address
RR 2 BOX 50-1, DALTON, PA 18414-9611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
644807
NY
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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