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Individual

ALBERT J PITOSCIA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-4626
Mailing address
400 E 3RD ST, SUITE 20, DULUTH, MN 55805-1951
(763) 559-3779
(763) 450-3986

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R106610-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
669344000
MN
Enumeration date
05/25/2006
Last updated
10/26/2016
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