Forrest Logan Carruba
NPI #1013601152 in Hartford, Connecticut
Provider Information
- NPI Number
- 1013601152
- Entity Type
- Individual
- Name
- Forrest Logan Carruba
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Jun 2, 2023
- Last Updated
- Jun 2, 2023
Practice Location
- Address
- 45 WADSWORTH ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06106-7108
- Phone
- (860) 527-1124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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