Individual
DR. MICHAEL A REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
100 HAYNES ST, 2ND FLOOR, MANCHESTER, CT 06040-4113
(860) 646-0670
(860) 643-9388
Mailing address
100 HAYNES ST, 2ND FLOOR, MANCHESTER, CT 06040-4113
(860) 646-0670
(860) 643-9388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030634
CT
207R00000X
Internal Medicine Physician
030634
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001306340
—
CT
Enumeration date
03/16/2006
Last updated
08/07/2013
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