Individual
MS. TRACY E BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
YALE NEW HAVEN HOSPITAL, 1450 CHAPEL STREET, NEW HAVEN, CT 06511
(203) 789-3000
Mailing address
40 HART ST, BUILDING A FLOOR 3, NEW BRITAIN, CT 06052-1743
(860) 225-1227
(860) 225-1253
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000704
CT
Other
Enumeration date
12/30/2005
Last updated
04/04/2019
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