Individual
TRACEY GLENN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5663
(475) 210-4079
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1104
(203) 651-9147
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
077052
CT
Other
Enumeration date
04/04/2019
Last updated
05/10/2024
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