Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 61805 | CT |
Y | 208600000X | Surgeon | 61805 | CT |
N | 2086S0102X | Surgical Critical Care | 61805 | CT |
NPI | 1194024380 |
---|---|
Provider Name | Alfred James Croteau |
First Address | Hartford, CT 06106-5523 |
Second Address | Hartford, CT 06106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 28/08/2018 |