Individual
REAS CELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
55 LILAC ST, EAST HARTFORD, CT 06118-1515
(860) 214-3612
(860) 955-2415
Mailing address
55 LILAC ST, EAST HARTFORD, CT 06118-1515
(860) 214-3612
(860) 785-8343
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14931
CT
Other
Enumeration date
06/19/2025
Last updated
05/08/2026
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