Individual
TRACY E BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 RETREAT AVE, HARTFORD, CT 06106
(860) 547-0306
(860) 525-9782
Mailing address
136 RETREAT AVE, HARTFORD, CT 06106
(860) 525-9767
(860) 525-9782
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
028642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286427
—
CT
Enumeration date
09/21/2006
Last updated
10/19/2011
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