Raymund Claudio Jr, | |
300 Western Blvd Ste B, Glastonbury, CT 06033-4305 | |
(860) 657-1950 | |
(860) 657-1951 |
Full Name | Raymund Claudio Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 300 Western Blvd Ste B, Glastonbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417515701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NR18742200 (Maine) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26NR18742200 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Woodland Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20180215000067 |
Entity Name | Pioneer Sedation Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154886810 PECOS PAC ID: 8729320239 Enrollment ID: O20190503000018 |
Mailing Address | Practice Location Address |
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Raymund Claudio Jr, 50 Holy Family Rd Apt 110, Holyoke, MA 01040-2763 Ph: (201) 993-5492 | Raymund Claudio Jr, 300 Western Blvd Ste B, Glastonbury, CT 06033-4305 Ph: (860) 657-1950 |
Dr. Kelley Larson Etheridge, APRN/CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 195 Eastern Blvd, Glastonbury, CT 06033 Phone: 860-667-9542 |