Individual
JOHN M CARRAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
888 WHITE PLAINS RD STE 106, TRUMBULL, CT 06611-4552
(203) 268-2882
(203) 452-3099
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000786
CT
363A00000X
Physician Assistant
786
CT
363AM0700X
Medical Physician Assistant
Primary
786
CT
Other
Enumeration date
04/13/2006
Last updated
02/21/2022
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