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Individual

MR. BRYAN MICHAEL RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, DNP

Contact information

Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-1000
Mailing address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176041
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
14168
CT
367500000X
Certified Registered Nurse Anesthetist
717981
NY

Other

Enumeration date
07/20/2021
Last updated
11/28/2024
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