Individual
TRACY E PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
53773
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057707
—
CT
01
—
P01712133
RAILROAD MEDICARE
CT
Enumeration date
06/14/2009
Last updated
10/20/2016
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