Individual
CARLY BRUEGGESTRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 384-3174
(203) 384-4619
Mailing address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 384-3174
(203) 384-4619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
074163
CT
367H00000X
Anesthesiologist Assistant
Primary
0044440
CT
Other
Enumeration date
06/16/2010
Last updated
10/11/2010
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