Individual
JOHN VETORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 CEDAR ST # STREET3, NEW HAVEN, CT 06510-3206
(203) 785-7280
(203) 785-6664
Mailing address
3601 W. 13 MILE RD, 400 FSC-PCS, ROYAL OAK, MI 48073-6769
(248) 423-2481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76756
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F364420
BCBSM
MI
05
—
4551981
—
MI
Enumeration date
03/14/2006
Last updated
09/16/2024
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