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Individual

MATTHEW ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 972-2117
(860) 545-1784
Mailing address
38 HILLCREST AVE, DERBY, CT 06418-2213
(203) 627-3515

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
006014
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
66621
CT

Other

Enumeration date
09/23/2014
Last updated
04/30/2026
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