Forrest Logan Carruba - Hartford, CT

Forrest Logan Carruba

Student in an Organized Health Care Education/Training Program in Hartford, Connecticut

NPI 1013601152

Forrest Logan Carruba is a Student in an Organized Health Care Education/Training Program based in Hartford, CT. Forrest Logan Carruba practices in Hartford, CT. The NPI Number for Forrest Logan Carruba is 1013601152 and holds a License No. (Connecticut).

The current practice location address for Forrest Logan Carruba is 45 Wadsworth St, Hartford, CT and can be reached out via phone at 860-527-1124.

Location: 45 Wadsworth St, Hartford, CT, 06114-4039

NPI Number

1013601152

Provider Name

Forrest Logan Carruba

Credential

Provider Entity Type

Individual

Gender

Male

Address

45 Wadsworth St, Hartford, CT, 06114-4039

Phone Number

860-527-1124

Fax Number

Provider Enumeration Date

06/02/2023

Last Update Date

03/10/2024

Address

45 Wadsworth St

City

Hartford

State

Connecticut

Zip

06106-7108

Phone Number

860-527-1124

Fax Number

Address

45 Wadsworth St

City

Hartford

State

Connecticut

Zip

06106-7108

Phone Number

860-527-1124

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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