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Individual

AARON MATTHEW CHARLES TEVAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, APRN

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(475) 731-2300
Mailing address
116 PROSPECT ST, ANSONIA, CT 06401-1522
(475) 731-2300

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12.13363
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13363
ADVANCED PRACTICE REGISTERED NURSE
CT
Enumeration date
07/06/2024
Last updated
08/11/2024
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