Individual
MR. DANIEL THOMAS TRICARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
38650
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004272358
—
CT
Enumeration date
04/26/2006
Last updated
03/27/2015
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