Patel, Tracy E

Patel, Tracy E is an individual health care provider with primary practice located at 711 Cottage Grove Rd , Bloomfield CT 06002-3060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Patel, Tracy E can be contacted via phone (860) 242-8756.

Contact Information

Primary practice address
711 Cottage Grove Rd Bloomfield CT 06002-3060
Fax: (860) 242-3052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 53773 Connecticut

Profile Details

NPI number 1013144369
LBN Legal business name Patel, Tracy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2009
Last updated Oct 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013144369 NPPES
Connecticut MEDICAID 008057707
Connecticut Other P01712133

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