Individual
DR. TRACY-ANN M. CLARKE-LECONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3840
(203) 863-3467
Mailing address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 863-3840
(203) 863-3467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2358791
NY
208M00000X
Hospitalist Physician
Primary
041884
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041884
CT PHYSICIAN LICENSE NO
CT
Enumeration date
03/08/2006
Last updated
03/07/2023
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