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Contact Information

JOHN M CARRAVONE, PA
888 WHITE PLAINS RD STE 106
TRUMBULL, CT06611-4552
 Phone: 203-268-2882
 Fax: 203-452-3099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN M CARRAVONE · (Male)

NPI # 1962466326
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/13/2006
Last updated 02/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000786
  • CT License # 786
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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