Individual
LEE TRACY SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 SUMMER ST, SUITE 105, STAMFORD, CT 06905-5359
(203) 325-2667
(203) 973-0446
Mailing address
1275 SUMMER ST, SUITE 105, STAMFORD, CT 06905-5359
(203) 325-2667
(203) 973-0446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038747
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038747
LICENSE
CT
Enumeration date
01/26/2007
Last updated
04/09/2015
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