Individual
JOSEPH BOURASSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2615
(203) 497-0635
Mailing address
315 REEDS GAP RD, NORTHFORD, CT 06472-1104
(413) 204-5819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
098146
CT
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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