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NPI Code Detail

MEDICARE: PERINO V. RUSPANTINE CRNA

MEDICARE: PERINO V. RUSPANTINE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist23073NJ

General Provider Information

NPI Number : 1003888975
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERINO V. RUSPANTINE CRNA
Provider Business Mailing Address
First Line : 82 BARNACLE RD
Second Line :
City : YARMOUTH PORT
State : MA
Zip : 02675-2016
Country : US
Telephone Number : 508-362-2791
Fax Number :
Provider Business Practice Location Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5230
Country : US
Telephone Number : 508-562-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/08/2007

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Directions to “ PERINO V. RUSPANTINE CRNA” Practice Location

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