Individual
TRACY BYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35 TALCOTTVILLE RD STE 5, VERNON, CT 06066-5261
(860) 249-8711
Mailing address
1290 SILAS DEANE HWY, HHC-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01738
CT
363AM0700X
Medical Physician Assistant
01738
CT
363AS0400X
Surgical Physician Assistant
01738
CT
Other
Enumeration date
10/03/2006
Last updated
01/16/2025
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