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Individual

JOHN R. DIGIOVANNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 MAIN ST, SUITE N1, HARTFORD, CT 06106-1806
(860) 525-1900
(860) 522-9913
Mailing address
86 COSEY BEACH AVE APT 2, EAST HAVEN, CT 06512-4924
(203) 464-9802

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9228977
FL
367500000X
Certified Registered Nurse Anesthetist
E55174
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306952400
FL
Enumeration date
02/17/2006
Last updated
01/11/2013
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