Individual
JOHN SALVATORE CAROCCIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
607 BEVERLY DR, ERIE, PA 16505-4617
(330) 421-5465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
712651
PA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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