Individual
MR. JORDAN EVERETT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
400 BLAKE ST, 5210, NEW HAVEN, CT 06515-4410
(347) 236-2324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5296
CT
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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