MATTHEW ELLIS

HARTFORD, CT
NPI1366844219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  66621)
Enumeration Date2014-09-23
Last Update Date2014-12-01
Business Address
MATTHEW ELLIS CRNA
80 SEYMOUR ST
HARTFORD, CT 06106-3315
Phone number: 860-972-2117
Mailing Address
MATTHEW ELLIS CRNA
38 HILLCREST AVE
DERBY, CT 06418-2213
Phone number: 203-627-3515