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Individual

MRS. CARMEN IRIS IPPOLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1423 CHAPEL, ST RAPHAEL HOSPITAL ANESTHESIA ASSOCIATES, NEW HAVEN, CT 06511
(203) 789-3538
(203) 865-2983
Mailing address
15 WOODMERE CIRCLE, NORTH HAVEN, CT 06473
(203) 248-6009

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN000133
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RNE35834
CT

Other

Enumeration date
08/25/2006
Last updated
12/31/2013
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