Individual
MATTHEW RYAN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-6664
Mailing address
333 CEDAR ST, TMP3, NEW HAVEN, CT 06510
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
079125
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
4800
CT
Other
Enumeration date
06/07/2011
Last updated
05/05/2020
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